Community Care Services LLC
Organization Active NPI Internal Medicine Physician · Reno, NV
NPI 1720031768 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1720031768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMMUNITY CARE SERVICES LLC
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-5000
- Fax
- (775) 982-4196
- NPI assigned
- May 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HOMETOWN HEALTH MANAGEMENT COMPANY
Authorized official
- Name
- Mr. Brett Moore
- Title
- Cfo Acute Care
- Phone
- (775) 982-6343
Other NPIs on the same Medicare enrollment 29
Other NPIs with the same Medicare PAC ID 3
Member of 1
Practitioners 799
-
Cheruba Abraham, M.D.
-
Anetta Adams, APRN
-
Frank Uche Akpati, FNP-BC
-
Hasmik Minasyan Al Danaf, M.D.
-
Jad Al Danaf, M.D.,M.P.H.
-
Christina Alsop, APRN
-
Tarek Ammar, MD
-
Rachel Jayne Ansley, APRN
-
Nancy Arredondo, DNP, APRN
-
Audrey Rose Arthur, APRN
-
Omar Ashraf, M.D.
-
Alexander L. Ayzengart, M.D.
-
Cristine Azevedo Lista, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060111000900 | NV | Part B Supplier - Clinic/Group Practice | 1951324318 |
Receives reassigned benefits from 762 practitioners 29 other NPIs on this enrollment Practice locations: Reno, NV; Carson City, NV; Sparks, NV; Winnemucca, NV; Fallon, NV; Fernley, NV |
| O20150506002515 | CA | Part B Supplier - Clinic/Group Practice | 1951324318 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Bishop, CA; Mammoth Lakes, CA; Susanville, CA |
National Provider Directory
- Part of
- Kimdung Nguyen MD
Locations
10085 Double R Blvd
Ste 325
Reno, NV 89521
Phone (775) 982-5073
1155 Mill St
#W11
Reno, NV 89502
Phone (775) 327-5174
1145 ML St
Reno, NV 89502
130 E Haskell St C
Winnemucca, NV 89445
Phone (775) 623-5074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Nephrology Physician |
207RN0300X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Neurology Physician |
2084N0400X | |||
| Radiation Oncology Physician |
2085R0001X | |||
| Trauma Surgery Physician |
2086S0127X | |||
| Hospitalist Physician |
208M00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
10101 Double R Blvd
Reno, NV 89521-3149
Phone (775) 982-7878
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720031768 | Medicaid | NV |
Other names
- Community Care Services
- Renown Health Hospitalist Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Reno, NV
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
- Community Care Services LLC
All providers in Reno, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.