Organization Active NPI

Community Services Council of Brevard County

  • Voluntary or Charitable Agency
  • Cocoa, FL
National Provider Identifier
1881902187
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
COMMUNITY SERVICES COUNCIL OF BREVARD COUNTY
Practice address
3600 King St
Cocoa, FL 32926-4150
Phone
(321) 639-8770
Fax
(321) 636-8446
NPI assigned
Sep 21, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Michele Dillman
Title
Chief Financial Officer
Phone
(321) 639-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3600 King St
Cocoa, FL 32926-4150

Mailing address

3600 King St
Cocoa, FL 32926-4150
Phone (321) 639-8770

National Provider Directory

National Provider Directory

Locations

3600 W King St
Cocoa, FL 32926
Phone (321) 639-8770

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1881902187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KING ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329264150",
            "telephone_number": "321-639-8770",
            "fax_number": "321-636-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KING ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329264150",
            "telephone_number": "321-639-8770",
            "fax_number": "321-636-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES COUNCIL OF BREVARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "321-639-8770"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.