Community Support System LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SUPPORT SYSTEM LLC

Practice address

1347 Falcon Dr
Grand Prairie, TX 75051-3354

Phone

(469) 531-0824

NPI assigned

Mar 20, 2021

Organization subpart

No

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

Authorized official

Name

Vincent Ordia

Title

Ceo

Phone

(469) 531-0824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1427634435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 FALCON DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 FALCON DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513354",
            "telephone_number": "469-531-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "ORDIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-531-0824"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.