NPIMap

Organization Active NPI

Community Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boise, ID
National Provider Identifier
1326488388
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COMMUNITY SERVICES LLC
Practice address
963 S Orchard St
Suite B
Boise, ID 83705-1939
Phone
(208) 336-6792
Fax
(208) 336-6794
NPI assigned
Jul 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Authorized official

Name
Mr. Dennis Hardziej
Title
Director/Owner
Phone
(208) 880-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X ID Primary

Addresses

Primary practice location

963 S Orchard St
Suite B
Boise, ID 83705-1939

Mailing address

PO Box 724
Eagle, ID 83616-0724
Phone (208) 880-1199

National Provider Directory

National Provider Directory
Tax ID family
Community Services Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1372896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1326488388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836160724",
            "telephone_number": "208-880-1199",
            "fax_number": "208-939-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S ORCHARD ST",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051939",
            "telephone_number": "208-336-6792",
            "fax_number": "208-336-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "HARDZIEJ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "208-880-1199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.