COMMUNITY CARE SERVICES, INC (NPI# 1760812390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760812390 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES, INC |
| Practice Address |
3317 Elm St Ste 202 Oakland CA 94609-3053 |
| Practice Telephone | 5109239790 |
| Practice Fax Number | 5109239599 |
| Mailing Telephone | 5109239790 |
| Mailing Fax Number | 5109239599 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MRS. THEODORA J MARZOUK (PRESIDENT/C.E.O.) |
| Authorized Official Telephone | 5109239790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251E00000X | Home Health | 020000416 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154450641 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-03-02 |
| 1043347206 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
| 1225165483 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
| 1376636068 | Community Care Services, Inc | Clinic/Center | 70 Main Street, Taunton, MA 02780 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | COMMUNITY CARE SERVICES, INC. | Legal Dept, Po Box 70, Wallingford, CT 06492 |
| Street Address |
3317 ELM ST STE 202 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570647 | H&h Home Health Care Inc | Home Health | 3875 Grand Oaks Blvd, Oakland, MI 48363-2673 | 2020-08-28 |
| 1932741527 | Sentry Living Solutions | Home Health | 3824 Buell St Ste A2, Oakland, CA 94619-2861 | 2019-10-15 |
| 1740797521 | Clayton Home Healthcare | Home Health | 1714 Franklin St # 100-206, Oakland, CA 94612-3488 | 2018-01-03 |
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1922404730 | Joyful Hearts Home Care Inc | Home Health | 2219 107th Ave, Oakland, CA 94603-4029 | 2014-11-06 |
| 1609270073 | Baypoint Home Health, Inc | Home Health | 351 30th St, Oakland, CA 94609-3402 | 2014-10-14 |
| 1669719738 | Holistic Care At Home Inc. | Home Health | 5707 Redwood Rd, Suite 2, Oakland, CA 94619-2400 | 2013-01-10 |
| 1326399296 | Healthflex Home Health Services | Home Health | 303 Hegenberger Rd, Suite 388, Oakland, CA 94621-1419 | 2012-10-01 |
| 1073886735 | Vcp Home Health Care Bay Area Inc. | Home Health | 2909 Mcclure St, Bottom Floor Suite, Oakland, CA 94609-3504 | 2012-02-10 |
| 1235425752 | Blessing Hands | Home Health | 75 Tate Dr, Oakland, TN 38060-6032 | 2011-06-22 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.