Community Living and Support Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000005377 Issued in PA

Legal business name

COMMUNITY LIVING AND SUPPORT SERVICES

Practice address

1400 S Braddock Ave
Pittsburgh, PA 15218-1264

Phone

(412) 683-7100

Fax

(412) 683-4160

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Al Condeluci, PHD

Title

Chief Executive Director

Phone

(412) 683-7100

Specialties & licenses 3

Addresses

Other identifiers 4

Tax ID family

Community Living and Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Living and Support Services

  • Licensed Practical Nurse
  • Pittsburgh, PA
  • NPI 1134783178
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isa Al-Amin, PRACTICAL NURSE

  • Licensed Practical Nurse
  • Pittsburgh, PA
  • NPI 1649834789
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1679576573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181264",
            "telephone_number": "412-683-7100",
            "fax_number": "412-683-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181264",
            "telephone_number": "412-683-7100",
            "fax_number": "412-683-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4638 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152131556",
            "country_code": "US",
            "telephone_number": "412-683-7100 x2122",
            "fax_number": "412-683-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY LIVING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "CONDELUCI",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-683-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "11173601",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "12973601",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000005377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000026610002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007170720004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000026610033",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000026610045",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Hearing, LLC (Community Hearing)
• Community Human Services Corporation
• Community Human Services Corporation
• Community Human Services Corporation
• Community Living and Support Services
• Community Options, Inc.
• Community Options, Inc.
• Community Specialists Corporation (The Academy)
• Community-Nurturing Case Management LLC
• Christopher John Como, M.D.

• Durable Medical Equipment & Medical Supplies in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.