Organization Active NPI

Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1093246340
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC8459 Issued in AZ
Legal business name
COMMUNITY SUPPORT SERVICES, INC.
Practice address
7142 N 58TH Dr
Glendale, AZ 85301-2460
Phone
(480) 629-5994
Fax
(480) 629-5996
NPI assigned
Mar 27, 2017
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Arlette Itami
Title
President/Ceo
Phone
(480) 629-5994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC8459 AZ Primary

Addresses

Primary practice location

7142 N 58TH Dr
Glendale, AZ 85301-2460

Mailing address

10645 N Tatum Blvd
Phoenix, AZ 85028-3068
Phone (602) 309-4210

Other identifiers 1

IdentifierTypeStateIssuer
249529MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Community Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5540 W Glendale Ave
Ste 102
Glendale, AZ 85301

5540 W Glendale Ave
Ste 36
Glendale, AZ 85301

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1093246340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "602-309-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 N 58TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012460",
            "telephone_number": "480-629-5994",
            "fax_number": "480-629-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "ITAMI",
        "authorized_official_first_name": "ARLETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "480-629-5994"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC8459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249529",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.