Community Care Services LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

COMMUNITY CARE SERVICES LLC

Practice address

80B Washington Ave
Spring Valley, NY 10977-1931

Phone

(845) 548-1446

NPI assigned

Nov 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Shulem Gross

Title

Owner

Phone

(845) 548-1446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1497625776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80B WASHINGTON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771931",
            "telephone_number": "845-548-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80B WASHINGTON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771931",
            "telephone_number": "845-548-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "SHULEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-548-1446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "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 Nov 11, 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.