Organization Active NPI

Community Care Services Inc.

Doing business as CCS Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Hamilton, TX
National Provider Identifier
1184827016
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0031352 Issued in TX
Legal business name
COMMUNITY CARE SERVICES INC.
Doing business as
CCS Medical Equipment
Hamilton Medical Supply
Practice address
623 E Main St
Hamilton, TX 76531-1417
Phone
(254) 386-5556
Fax
(254) 386-5511
NPI assigned
Jun 7, 2007
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Jessica Cowan
Title
GM
Phone
(254) 445-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0031352 TX Primary

Addresses

Primary practice location

623 E Main St
Hamilton, TX 76531-1417

Mailing address

623 E Main St
Hamilton, TX 76531-1417
Phone (254) 386-5556

Other identifiers 1

IdentifierTypeStateIssuer
010024002MedicaidTX

Other names 2

  • CCS Medical Equipment Doing business as
  • HAMILTON MEDICAL SUPPLY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000321 TX DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Oxygen & Equipment 6608996343 Practice locations: Hamilton, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

623 E Main St
Hamilton, TX 76531
Phone (254) 386-5556

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1184827016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E MAIN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311417",
            "telephone_number": "254-386-5556",
            "fax_number": "254-386-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E MAIN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311417",
            "telephone_number": "254-386-5556",
            "fax_number": "254-386-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "254-445-4150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0031352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010024002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAMILTON MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.