Organization Active NPI

CS Al Opco LLC

Doing business as Community Al

  • Assisted Living Facility
  • Warren, OH
National Provider Identifier
1417760463
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CS AL OPCO LLC
Doing business as
Community Al
Practice address
1340 Mahoning Ave NW
Warren, OH 44483-2084
Phone
(330) 394-3037
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Mattisyahu Nussbaum
Title
Owner
Phone
(212) 653-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1340 Mahoning Ave NW
Warren, OH 44483-2084

Mailing address

5140 US Highway 9
Howell, NJ 07731-3357

Other names 1

  • COMMUNITY AL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1417760463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832084",
            "telephone_number": "330-394-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATTISYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-653-8730"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY AL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.