NPIMap

Organization Active NPI

Community Support Services of Texas

  • Case Manager/Care Coordinator
  • Farmers Branch, TX
National Provider Identifier
1083019202
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COMMUNITY SUPPORT SERVICES OF TEXAS
Practice address
4000 Sigma Rd
Apt 9403
Farmers Branch, TX 75244-8115
Phone
(414) 839-4755
Fax
(888) 320-7479
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Ms. Shanese McClendon
Title
Director
Phone
(414) 839-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

4000 Sigma Rd
Apt 9403
Farmers Branch, TX 75244-8115

Mailing address

4000 Sigma Rd
Apt 9403
Farmers Branch, TX 75244-8115
Phone (414) 839-4755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1083019202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SIGMA RD",
            "address_2": "APT 9403",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752448115",
            "telephone_number": "414-839-4755",
            "fax_number": "888-320-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SIGMA RD",
            "address_2": "APT 9403",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752448115",
            "telephone_number": "414-839-4755",
            "fax_number": "888-320-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SERVICES OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "SHANESE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-839-4755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.