Community Integrated Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

602 287 094 Issued in WA

Legal business name

COMMUNITY INTEGRATED SERVICES LLC

Practice address

33530 1St Way S Ste 104
Federal Way, WA 98003-7332

Phone

(253) 952-0502

Fax

(253) 952-0512

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Joan Cardwell

Title

Program Administrator

Phone

(253) 952-0502

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1902146459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33530 1ST WAY S STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037332",
            "telephone_number": "253-952-0502",
            "fax_number": "253-952-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33530 1ST WAY S STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037332",
            "telephone_number": "253-952-0502",
            "fax_number": "253-952-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTEGRATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "253-952-0502"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "602 287 094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.