Community Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

020000416 Issued in CA

Legal business name

COMMUNITY CARE SERVICES, INC

Practice address

3317 Elm St Ste 202
Oakland, CA 94609-3053

Phone

(510) 923-9790

Fax

(510) 923-9599

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Theodora J MarzoukNPI 1174045744

Title

President/C.E.O.

Phone

(510) 923-9790

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Theodora J Marzouk

  • Home Health Aide
  • Oakland, CA
  • NPI 1174045744
  NPD (past) Authorized official

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1760812390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053",
            "telephone_number": "510-923-9790",
            "fax_number": "510-923-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053",
            "telephone_number": "510-923-9790",
            "fax_number": "510-923-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "THEODORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "510-923-9790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "020000416",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Care Pharmacy
• Patricia Isabella Commer, DPT
• Janelle Alice Commins, RDN
• Communities United for Restorative Youth Justice (Curyj)
• Community Birth Works Inc
• Community Health for Asian Americans
• Community Health for Asian Americans
• Community Health for Asian Americans
• Community Health for Asian Americans
• Community Health for Asian Americans

• Home Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.