Community Residential Services, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

433901 Issued in PA

Legal business name

COMMUNITY RESIDENTIAL SERVICES, INC.

Practice address

1360 1/2 4TH St
Monongahela, PA 15063-1970

Phone

(724) 258-2934

Fax

(724) 258-2936

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Garry McGrath, MPA

Title

Chief Financial Officer

Phone

(412) 298-7778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1437400751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 1/2 4TH ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631970",
            "telephone_number": "724-258-2934",
            "fax_number": "724-258-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 1/2 4TH ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631970",
            "telephone_number": "724-258-2934",
            "fax_number": "724-258-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "412-298-7778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "PA",
            "license": "433901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Assisted Living Facility (Mental Illness) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.