Community Behavioral Nursing Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY BEHAVIORAL NURSING SERVICES, INC

Practice address

2857 Riviera Dr Ste 202
Fairlawn, OH 44333-3469

Phone

(330) 606-9561

Fax

(866) 354-6211

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Lisa Marie Kosley, RNNPI 1215459151

Title

Admin/President

Phone

(330) 606-9561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369062

Legal name

COMMUNITY BEHAVIORAL NURSING SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 7, 2014

Last certification

Dec 19, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 12, 2012 in OH

Enrollment address

2857 Riviera Dr
Ste 202
Fairlawn, OH 44333-3469
HHA Branch

Listed as

Community Behavioral Nursing ServicesCCN 369062

Ownership

Proprietary

Certified

Jan 7, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Kosley, RN

  • Home Health Registered Nurse
  • Fairlawn, OH
  • NPI 1215459151
  NPD Authorized official
• Janet Gobrogge, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
  • NPI 1992890867
  NPD (past)
• Linda Greczanik, RN

  • Registered Nurse
  • Fairlawn, OH
  • NPI 1164942652
  NPD (past)
• Leah Marie Paull, LPN

  • Licensed Practical Nurse
  • Fairlawn, OH
  • NPI 1336662436
  NPD (past)
• Melanie Provo, RN

  • Registered Nurse
  • Fairlawn, OH
  • NPI 1760911929
  NPD (past)
• Rick Dale Vansickle, LPN

  • Licensed Practical Nurse
  • Fairlawn, OH
  • NPI 1740703040
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1285942458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 RIVIERA DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333469",
            "telephone_number": "330-606-9561",
            "fax_number": "866-354-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 RIVIERA DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333469",
            "telephone_number": "330-606-9561",
            "fax_number": "866-354-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL NURSING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "KOSLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN/PRESIDENT",
        "authorized_official_telephone_number": "330-606-9561",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailie Coles
• Jillyan Collica, LPCC
• Jennifer Collins, OTR/L
• Shane Collins
• Shatreice Collins
• Comprehensive Pain Management Specialists
• Katherine Zimmer Comuzie, M.A. CCC-SLP
• Conscious Wellness, LLC
• Donna M Conti, MA
• Frederick Lewis Conti, DPM

• Home Health Agency in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.