Southwest Community Services, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

04128 Issued in IL

Legal business name

SOUTHWEST COMMUNITY SERVICES, INC.

Practice address

58 W 162ND St
South Holland, IL 60473-2061

Phone

(708) 825-1986

NPI assigned

Oct 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Pat Ambrosino

Title

Executive Director

Phone

(708) 429-1260

Specialties & licenses 1

Addresses

Tax ID family

Southwest Community Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Community Services, Inc.

  • Community/Behavioral Health Agency
  • Tinley Park, IL
  • NPI 1457647026
  NPD tax ID
• Southwest Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Holland, IL
  • NPI 1730432733
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1033462288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 PROSPERI DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774789",
            "telephone_number": "708-429-1260",
            "fax_number": "708-429-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732061",
            "telephone_number": "708-825-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "AMBROSINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-429-1260"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "04128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Loop Counseling Services, LLC
• South Park Dental Care (Harvey Dental Associates)
• South Park Pediatrics, Inc (South Park Pediatrics)
• South Park Pediatrics, Inc
• South Suburban Physical Therapy LTD
• Southwest Community Services, Inc.
• Glendolyn Spencer
• Kimberly N Spencer, LCPC
• St Margaret Mercy Healthcare Centers, Inc. (South Holland Family Health Center)
• Miriam Standberry-Sanders

• Non-emergency Medical Transport (VAN) in South Holland, IL
• Providers in South Holland, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.