NPIMap

Organization Active NPI

Phoenix Community Support Services LLC

  • Community/Behavioral Health Agency
  • Birmingham, AL
National Provider Identifier
1740893346
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX COMMUNITY SUPPORT SERVICES LLC
Practice address
4111 Avenue L
Birmingham, AL 35208-1807
Phone
(205) 346-3123
NPI assigned
Aug 25, 2020
Organization subpart
Yes
Parent organization
PHOENIX COMMUNITY SUPPORT SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Lashunda Smith-Pope
Title
Owner/Ceo
Phone
(205) 346-3123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4111 Avenue L
Birmingham, AL 35208-1807

Mailing address

4111 Avenue L
Birmingham, AL 35208-1807

Other names 1

  • Phoenix Community Support Services LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Community Support Services LLC3 organizations share this tax ID, including this one
Part of
Phoenix Community Support Services LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1740893346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 AVENUE L",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352081807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 AVENUE L",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352081807",
            "telephone_number": "205-346-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COMMUNITY SUPPORT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX COMMUNITY SUPPORT SERVICES LLC",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SMITH-POPE",
        "authorized_official_first_name": "LASHUNDA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "205-346-3123"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Community Support Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.