Organization Active NPI

Consumer Support Services, Inc.

Doing business as CSS El Camino Drive

  • Intellectual Disabilities Intermediate Care Facility
  • Springfield, OH
National Provider Identifier
1275039315
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CONSUMER SUPPORT SERVICES, INC.
Doing business as
CSS El Camino Drive
Practice address
3154 El Camino Dr
Springfield, OH 45503-1318
Phone
(614) 889-3785
NPI assigned
Apr 5, 2018
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CONSUMER SUPPORT SERVICICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Christopher Swickard
Title
President
Phone
(614) 899-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

3154 El Camino Dr
Springfield, OH 45503-1318

Mailing address

3660 Corporate Dr
Columbus, OH 43231-4962

Other identifiers 1

IdentifierTypeStateIssuer
2555462MedicaidOH

Other names 1

  • CSS El Camino Drive Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275039315. Details of each certification follow.

  • CCN 36G607 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G607

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CSS - EL CAMINO DRIVE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 5, 2005
Last certification
Apr 29, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
3154 El Camino Drive
Springfield, OH 45503

National Provider Directory

National Provider Directory
Tax ID family
Consumer Support Services Inc5 organizations share this tax ID, including this one
Part of
Consumer Support Services Inc

Other organizations with this tax ID 4

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": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1275039315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CORPORATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "614-889-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER SUPPORT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSUMER SUPPORT SERVICICES, INC.",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "SWICKARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-899-3790"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSS El Camino Drive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.