Organization Active NPI

Community Assistance Support Services

  • Community/Behavioral Health Agency
  • Triangle, VA
National Provider Identifier
1750130563
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ASSISTANCE SUPPORT SERVICES
Practice address
3399 Oakham Mount Dr
Triangle, VA 22172-2343
Phone
(571) 285-9186
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Ms. Deborah Mearie Jackson, OWNER
Title
Owner
Phone
(571) 285-9186

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

3399 Oakham Mount Dr
Triangle, VA 22172-2343

Mailing address

3399 Oakham Mount Dr
Triangle, VA 22172-2343
Phone (571) 285-9186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1750130563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 OAKHAM MOUNT DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722343",
            "telephone_number": "571-285-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 OAKHAM MOUNT DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722343",
            "telephone_number": "571-285-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSISTANCE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MEARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-285-9186",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Triangle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.