NPIMap

Organization Active NPI

Compassion Community Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Gaithersburg, MD
National Provider Identifier
1215732771
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMPASSION COMMUNITY SERVICES, INC
Practice address
963 Russell Ave Ste D963
Gaithersburg, MD 20879-3287
Phone
(240) 413-1428
Fax
(240) 386-1197
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Clifford KibangNPI 1265958276
Title
Ceo
Phone
(240) 413-1428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

963 Russell Ave Ste D963
Gaithersburg, MD 20879-3287

Mailing address

963 Russell Ave Ste D
Gaithersburg, MD 20879-3287
Phone (240) 413-1428

Other practice location 1

963 Russell Ave Ste D
Gaithersburg, MD 20879-3287
Phone (240) 413-1428

Other names 2

  • N/A Other name
  • NONE Other name

National Provider Directory

National Provider Directory

Locations

963 Russell Ave
Ste D
Gaithersburg, MD 20879
Phone (240) 413-1428

963 Russell Ave
Ste D963
Gaithersburg, MD 20879
Phone (240) 413-1428

Practitioners & affiliated clinicians

Practitioners 1

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": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1215732771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 RUSSELL AVE STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793287",
            "telephone_number": "240-413-1428",
            "fax_number": "240-386-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 RUSSELL AVE STE D963",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793287",
            "telephone_number": "240-413-1428",
            "fax_number": "240-386-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "963 Russell Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208793287",
            "country_code": "US",
            "telephone_number": "240-413-1428",
            "fax_number": "240-386-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSION COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KIBANG",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-413-1428"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.