Community Care Services Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

76C3PFA5142 Issued in MS

Legal business name

COMMUNITY CARE SERVICES INC

Practice address

228 Dr Martin Luther King Jr Blvd
Greenville, MS 38701-4303

Phone

(662) 332-0911

Fax

(662) 332-0911

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Leon C Jackson, MR

Title

Director

Phone

(662) 332-0911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1306006515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DR MARTIN LUTHER KING BLVD S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014303",
            "telephone_number": "662-332-0911",
            "fax_number": "662-332-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DR MARTIN LUTHER KING JR BLVD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014303",
            "telephone_number": "662-332-0911",
            "fax_number": "662-332-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-332-0911",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "76C3PFA5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renae Coleman, M.S., CCC-SLP
• Linda Stout Coleman
• Robert Coleman, CRNA
• Leighann Bibb Colin, MA
• Comfort Care Transit, LLC
• Community Counseling Center
• Community Counseling Center Inc
• Condons East Union Pharmacy Inc
• Ashley Brown Corban, MS, CCC-SLP
• Angela Lanette Cork, PLMSW

• Adult Day Care Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.