Active NPI
Community Support Solutions Inc
- In Home Supportive Care Agency
- Lake Alfred, FL
National Provider Identifier
1376058289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COMMUNITY SUPPORT SOLUTIONS INC
- Practice address
- 253 James Cir
Lake Alfred, FL 33850-2752 - Phone
- (863) 595-6510
- NPI assigned
- Dec 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Daphnne Arnold, MBA
- Title
- President
- Phone
- (863) 595-6510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Chore Provider | 372500000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
253 James Cir
Lake Alfred, FL 33850-2752
Mailing address
253 James Cir
Lake Alfred, FL 33850-2752
Phone (863) 595-6510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109782700 | Medicaid | FL | |
| 013791200 | Medicaid | FL | |
| 237485 | Other | FL | AHCA |
National Provider Directory
National Provider Directory- Tax ID family
- Community Support Solutions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Winter Haven, FL
- NPI 1104670736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chore Provider
- Lake Alfred, FL
- NPI 1811512312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1376058289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 JAMES CIR",
"city": "LAKE ALFRED",
"state": "FL",
"postal_code": "338502752",
"telephone_number": "863-595-6510",
"fax_number": "863-808-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 JAMES CIR",
"city": "LAKE ALFRED",
"state": "FL",
"postal_code": "338502752",
"telephone_number": "863-595-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SUPPORT SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "DAPHNNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-595-6510",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "372500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109782700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013791200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "237485",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Alfred, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.