COMMUNITY SERVICES & SUPPORTS (NPI# 1891005013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891005013 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICES & SUPPORTS |
| Practice Address |
4575 Galley Rd. Suite 400a Colorado Springs CO 80915 |
| Practice Telephone | 7195746101 |
| Mailing Telephone | 7195746101 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MR. KEVIN M GRAVES (PRESIDENT) |
| Authorized Official Telephone | 7196413827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY SERVICES & SUPPORTS | 4575 Galley Rd Ste 400a, Colorado Springs, CO 80915-2760 |
| Street Address |
4575 GALLEY RD. SUITE 400A |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| 1487662466 | Glenn David Thompson | Dentist | 1711 N Murray Blvd, Colorado Springs, CO 80915 | 2006-08-04 |
| Find all providers in zip 80915 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631237 | Van Ness Day Program LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1430 N Hancock Ave, Colorado Springs, CO 80903-2621 | 2019-04-02 |
| 1861973570 | Community Outreach, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 S Tejon St, Colorado Springs, CO 80903-4148 | 2018-08-22 |
| 1427273036 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1801436985 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5630 N Academy Blvd, Colorado Springs, CO 80918-3659 | 2020-01-07 |
| 1942714795 | Your Choice Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2259 Falkirk Dr, Colorado Springs, CO 80910-3266 | 2017-11-30 |
| 1417172024 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1326263930 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1235354846 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1386254019 | Grace Mountain LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 | 2020-08-07 |
| 1598381766 | Hand and Heart Host Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 391 S Simms St, Lakewood, CO 80228-2905 | 2020-06-23 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1619599826 | Metro Hearts Host Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1192 Sandpiper Ln, Brighton, CO 80601-7391 | 2020-05-11 |
| 1588283550 | Roots, Limited Liability Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Purple Plum Ct, Fruita, CO 81521-6205 | 2020-04-10 |
| 1235760497 | Garden Neighbors, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 W Long Dr, Littleton, CO 80120-5531 | 2020-01-27 |
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
Please comment or provide details below to improve the information on COMMUNITY SERVICES & SUPPORTS.
| 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.