Community Support Network

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

COMMUNITY SUPPORT NETWORK

Doing business as

CSN Opportunity House

Practice address

634 Pressley St
Santa Rosa, CA 95404-5526

Phone

(707) 573-6955

Fax

(707) 543-8176

NPI assigned

Jul 18, 2007

Organization subpart

Yes

Parent organization

COMMUNITY SUPPORT NETWORKAs reported in NPPES

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

Authorized official

Name

Ms. Rosemary Devitt

Title

Program Manager

Phone

(707) 575-0979

Specialties & licenses 1

Addresses

Other names 1

• CSN Opportunity House Doing business as

Part of

Community Support Network

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1336349398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 GUERNEVILLE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037231",
            "telephone_number": "707-573-6955",
            "fax_number": "707-573-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 PRESSLEY ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045526",
            "telephone_number": "707-573-6955",
            "fax_number": "707-543-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY SUPPORT NETWORK",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DEVITT",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "707-575-0979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSN Opportunity House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comforting Hands (Fiji) Home Care LLC
• Kenneth Commerford
• Community Action Partnership of Sonoma County
• Community Dental Services (SmileCare Dental Group)
• Community Support Network (CSN Sail)
• Community Support Network (Housing and Wellness Program)
• Community Support Network (CSN Brown St.)
• Community Support Network
• Community Support Network (CSN Dutton)
• Community Support Networkr

• Mental Illness Community Based Residential Treatment Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.