Organization Active NPI

Community Supporting LLC

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1841965316
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY SUPPORTING LLC
Practice address
9642 SW 72ND St
Miami, FL 33173-3250
Phone
(813) 551-8110
NPI assigned
Aug 16, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Luis Carralero
Title
Ceo
Phone
(813) 551-8110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

9642 SW 72ND St
Miami, FL 33173-3250

Mailing address

9642 SW 72ND St
Miami, FL 33173-3250
Phone (813) 551-8110

Other identifiers 1

IdentifierTypeStateIssuer
103363700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Community Supporting LLC2 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.

Locations

9642 SW 72nd St
Miami, FL 33173
Phone (786) 618-5174

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1841965316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9642 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733250",
            "telephone_number": "813-551-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9642 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733250",
            "telephone_number": "813-551-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CARRALERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-551-8110"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103363700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.