Community Support Specialists, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SUPPORT SPECIALISTS, LLC

Practice address

1316 S 16TH St
Wilmington, NC 28401-6422

Phone

(910) 763-3644

Fax

(910) 763-3634

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Annie Della Kenion, RN

Title

Nurse Case Manager/ QP

Phone

(910) 763-3644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1619988565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016422",
            "telephone_number": "910-763-3644",
            "fax_number": "910-763-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016422",
            "telephone_number": "910-763-3644",
            "fax_number": "910-763-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "KENION",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "DELLA",
        "authorized_official_title_or_position": "NURSE CASE MANAGER/ QP",
        "authorized_official_telephone_number": "910-763-3644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Support Professionals,LLC
• Community Support Specialists
• Community Support Specialists
• Community Support Specialists
• Community Support Specialists, LLC
• Community Support Specialists, LLC
• Compass Adult Care, Inc
• Compass Adult Care, Inc
• Compass Adult Care, Inc.
• Compass Point

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.