NPIMap

Organization Active NPI

Community Supports Programming Services LLC

  • Home Health Agency
  • Pine City, MN
National Provider Identifier
1346486099
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A486667300 Issued in MN
Legal business name
COMMUNITY SUPPORTS PROGRAMMING SERVICES LLC
Practice address
500 3Rd Ave SE Ste 2
Pine City, MN 55063-1544
Phone
(320) 629-6674
Fax
(320) 629-6630
NPI assigned
Dec 31, 2008
Last updated
Dec 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Rebecca Marie Mannion, RN
Title
Registered Nurse
Phone
(320) 629-6674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A486667300 MN Primary

Addresses

Primary practice location

500 3Rd Ave SE Ste 2
Pine City, MN 55063-1544

Mailing address

500 3Rd Ave SE Ste 2
Pine City, MN 55063-1544
Phone (320) 629-6674

Other identifiers 1

IdentifierTypeStateIssuer
A486667300OtherMNSTATE PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Community Supports Programming Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1346486099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD AVE SE STE 2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631544",
            "telephone_number": "320-629-6674",
            "fax_number": "320-629-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 3RD AVE SE STE 2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631544",
            "telephone_number": "320-629-6674",
            "fax_number": "320-629-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORTS PROGRAMMING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "MANNION",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "320-629-6674",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "A486667300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER #",
            "identifier": "A486667300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.