Organization Active NPI

Community Care Services

  • Case Management Agency
  • Taunton, MA
National Provider Identifier
1235403114
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
S17518236 Issued in MA
Legal business name
COMMUNITY CARE SERVICES
Practice address
100 Williams St
Taunton, MA 02780-2711
Phone
(508) 822-2345
Fax
(508) 822-5363
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Mr. Derek Michael George I, BA
Title
Case Manager
Phone
(508) 822-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X S17518236 MA Primary

Addresses

Primary practice location

100 Williams St
Taunton, MA 02780-2711

Mailing address

100 Williams St
Taunton, MA 02780-2711
Phone (508) 822-2345

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1235403114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAMS ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802711",
            "telephone_number": "508-822-2345",
            "fax_number": "508-822-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAMS ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802711",
            "telephone_number": "508-822-2345",
            "fax_number": "508-822-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "508-822-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "S17518236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.