COMMUNITY SUPPORT NETWORK (NPI# 1922121581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922121581 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT NETWORK |
| Practice Address |
420 E Cotati Ave Cotati CA 94931-4442 |
| Practice Telephone | 7077954336 |
| Practice Fax Number | 7077953306 |
| Mailing Telephone | 7077954336 |
| Mailing Fax Number | 7077953306 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURELIN COGGINS-LEWIS (PROGRAM MANAGER) |
| Authorized Official Telephone | 7077954336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619276839 | Community Support Network | Case Management | 2749 1st Ave N, St Petersburg, FL 33713-8723 | 2011-03-28 |
| 1396954087 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 21 Faye Ct, Petaluma, CA 94952-2202 | 2007-05-21 |
| 1386869246 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 201 S E St, Santa Rosa, CA 95404-4709 | 2007-04-16 |
| 1427272004 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 112 Brown St, Santa Rosa, CA 95404-5007 | 2007-04-13 |
| 1992828966 | Community Support Network | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1550 N. Dutton Ave, Santa Rosa, CA 95401 | 2007-04-06 |
| 1962861369 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2016-02-15 |
| 1255656609 | Community Support Network | Community/Behavioral Health | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2010-03-29 |
| 1336349398 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2007-07-18 |
| 1225259179 | Community Support Network | Case Management | 634 Pressley St, Santa Rosa, CA 95403 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY SUPPORT NETWORK | 8221 Sw Mariners Dr, Wilsonville, OR 97070 |
| Street Address |
420 E COTATI AVE |
| City | COTATI |
| State | CA |
| Zip Code | 94931-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513502 | Brenda Ferrel | Counselor | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2020-03-12 |
| 1619502499 | Joana Nunez | Counselor | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2020-03-11 |
| 1659906428 | Krystalmarie Cox Zavala | Counselor | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2020-03-11 |
| 1639704646 | Trevor Brian Robinson | Counselor | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2020-03-10 |
| 1427680594 | Debbie Marie Mcculloch I | Counselor | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629290432 | Jazmin Julia Zelaya-peo | Dentist | 421 East Cotati Avenue, Cotati, CA 94931 | 2007-05-02 |
| 1700928553 | Anita Indira Palmatier | Marriage & Family Therapist | 8999 Cypress Ave, Cotati, CA 94931 | 2007-02-12 |
| 1932209913 | Vicki Dawn Van Winkle-sami | Counselor | 8297 Old Redwood Hwy, Cotati, CA 94931 | 2006-09-22 |
| 1659531838 | Cotati Rohnert Park Physical Therapy | Physical Therapist | 7840 Old Redwood Hwy, Cotati, CA 94931 | 2008-06-11 |
| 1720290414 | Scott Alexander Rudell Sr. | Chiropractor | 315 E Cotati Ave, Suite E, Cotati, CA 94931 | 2007-05-04 |
| 1245363704 | Sandi Cullinen | Occupational Therapist | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-03-13 |
| 1285848135 | Cullinen Hand Therapy | Durable Medical Equipment & Medical Supplies | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-05-10 |
| 1043343502 | Cullinen Hand Therapy | Occupational Therapist | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-03-13 |
| 1750366068 | Protransport 1 | Ambulance | 720 Portal St, Cotati, CA 94931-3060 | 2005-12-08 |
| 1558501890 | Norcal Ambulance, LLC | Ambulance | 720 Portal St, Cotati, CA 94931-3060 | 2009-02-26 |
| Find all providers in zip 94931 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY SUPPORT NETWORK.
| 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.