Active NPI
Community Support Services
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1578094827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSLG7618
- Legal business name
- COMMUNITY SUPPORT SERVICES
- Practice address
- 423 N Country Club Dr
Suite 36
Mesa, AZ 85201-5717 - Phone
- (602) 309-4210
- Fax
- (480) 629-5996
- NPI assigned
- Mar 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlette Itami
- Title
- President/Ceo
- Phone
- (602) 309-4210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSLG7618 | AZ | Primary |
Addresses
Primary practice location
423 N Country Club Dr
Suite 36
Mesa, AZ 85201-5717
Mailing address
10645 N Tatum Blvd
Phoenix, AZ 85028-3068
Phone (602) 309-4210
National Provider Directory
National Provider Directory- Tax ID family
- Community Support Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1093246340
Locations
423 N Country Club Dr
Ste 36
Mesa, AZ 85201
Phone (480) 629-5994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522368000000",
"number": "1578094827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10645 N TATUM BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283068",
"telephone_number": "602-309-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N COUNTRY CLUB DR",
"address_2": "SUITE 36",
"city": "MESA",
"state": "AZ",
"postal_code": "852015717",
"telephone_number": "602-309-4210",
"fax_number": "480-629-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-27",
"last_updated": "2018-03-30",
"status": "A",
"authorized_official_last_name": "ITAMI",
"authorized_official_first_name": "ARLETTE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "602-309-4210"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "CSLG7618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Community Medical Services Arizona-Private, LLC
- Community Medical Services Arizona-Private, LLC
- Community Medical Services Arizona-Private, LLC
- Community Medical Services Arizona-Private, LLC
- Community Pillars LLC
- Casey Como
- Companion Home Health of Maricopa, LLC
- Companion Hospice and Palliative Care of Maricopa, LLC
- Compassion Care Home, LLC
- Compassionate Care and Staffing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.