NPIMap

Organization Active NPI

Community Support Systems

  • Developmentally Disabled Services Day Training Agency
  • Teutopolis, IL
National Provider Identifier
1215041991
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY SUPPORT SYSTEMS
Practice address
618 W Main St
Teutopolis, IL 62467-1210
Phone
(217) 705-4300
NPI assigned
Aug 18, 2006
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. Andrew Kistler
Title
Executive Director
Phone
(217) 705-4298

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

618 W Main St
Teutopolis, IL 62467-1210

Mailing address

618 W. Main St.
Teutopolis, IL 62467
Phone (217) 705-4300

Other names 1

  • ARC Community Support Systems Former legal business name

National Provider Directory

National Provider Directory

Locations

618 W Main St
Teutopolis, IL 62467
Phone (217) 636-3250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1215041991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W. MAIN ST.",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "62467",
            "telephone_number": "217-705-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W MAIN ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671210",
            "telephone_number": "217-705-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-705-4298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Community Support Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Teutopolis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.