NPIMap

Organization Active NPI

Community Support Services Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
National Provider Identifier
1649778374
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY SUPPORT SERVICES INC
Practice address
150 Cross St
Akron, OH 44311-1026
Phone
(330) 253-9388
Fax
(330) 376-6726
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Robert Stokes
Title
President/Ceo
Phone
(330) 996-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

150 Cross St
Akron, OH 44311-1026

Mailing address

150 Cross St
Akron, OH 44311-1026
Phone (330) 253-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514000012 OH Part A Provider - Federally Qualified Health Center (FQHC) 7911993415 Practice locations: Akron, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649778374. Details of each certification follow.

Federally qualified health center certification: CCN 361162

Legal name
COMMUNITY SUPPORT SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 14, 2018
Last certification
May 14, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1969 in OH
Enrollment address
150 Cross St
Akron, OH 44311-1026

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Support Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Cross St
Akron, OH 44311
Phone (330) 253-9388

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lorilee Stein Individual Corporate OfficerChief Financial Officer May 13, 2019
W-2 Managing EmployeeChief Financial Officer May 13, 2019
Leslie Stoyer Individual Corporate DirectorBoard Member Apr 24, 2014
James Pianalto Individual Corporate DirectorBoard Member Apr 15, 2004
Bonnie Wojno Individual Corporate DirectorBoard Member Apr 25, 2015
Shaleeta Smith Individual Corporate DirectorBoard Member Jan 24, 2018
Karl Henley Individual Corporate DirectorBoard Member Apr 18, 2013
Erin Demiray Individual Corporate DirectorBoard Member Apr 19, 2012
Michael Davis Individual Corporate DirectorBoard Member Jan 31, 2016
Marissa Zilch Individual Corporate DirectorBoard Member Feb 20, 2014
Luanne Decker Individual Corporate DirectorBoard Member May 16, 2013
Karen Mullen Individual Corporate DirectorBoard Member Apr 25, 2011
Martin Ganzer Individual Corporate DirectorBoard Member Apr 22, 2015
Paul Jackson Individual Corporate DirectorBoard Member Dec 31, 1994
Robert Stokes Individual Corporate OfficerCeo Jan 2, 2018
W-2 Managing EmployeeCeo Jan 2, 2018
John Moulagiannis Individual Corporate DirectorBoard Member Dec 31, 2014
Patrice Sirmons Individual Corporate DirectorBoard Member Jan 24, 2018

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1649778374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CROSS ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111026",
            "telephone_number": "330-253-9388",
            "fax_number": "330-376-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CROSS ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111026",
            "telephone_number": "330-253-9388",
            "fax_number": "330-376-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-996-9141"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.