Community Support Advantage, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SUPPORT ADVANTAGE, LLC

Practice address

36 Equestrian Dr
Imperial, PA 15126-2231

Phone

(910) 650-9827

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Andrew SmithNPI 1659183762

Title

Owner

Phone

(910) 650-9827

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Smith

  • Developmentally Disabled Services Day Training Agency
  • Steubenville, OH
  • NPI 1659183762
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1124835442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EQUESTRIAN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151262231",
            "telephone_number": "910-650-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EQUESTRIAN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151262231",
            "telephone_number": "910-650-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-650-9827"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Bloor, PHARMD
• Aysia Bly
• Brittany Nicole Bodo, OD
• Courtney Buchna
• Jared Matthew Campbell, PHARM.D
• David C Quinn
• Doctor'S DME
• Elevate Psychological Services LLC
• Angel Fazio
• Sumana T. Gangadhar, DMD

• All providers in Imperial, PA
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.