CDP Community Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CDP COMMUNITY SERVICES LLC

Practice address

1904 Gloria York Ave
Mobile, AL 36617-3409

Phone

(251) 259-0857

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Courtney Sims

Title

Executive Director

Phone

(251) 259-0857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1497229173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OCONNOR ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172619",
            "telephone_number": "251-259-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GLORIA YORK AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366173409",
            "telephone_number": "251-259-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDP COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-259-0857"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Caughran, MD
• Tyeisha Causey
• Gabriel Cavalcanti
• Luther Davenport Cave, MD
• Claire Cazalas
• Cecil L. Parker, Jr. MD, PC
• Jonah Celeski
• Ross Centanni, R.PH.
• Center for Choices LLC
• Manuel L. Cepeda, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.