Cabb Community Supports LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CABB COMMUNITY SUPPORTS LLC

Practice address

20300 Superior Rd Ste 123
Taylor, MI 48180-6331

Phone

(734) 258-8111

NPI assigned

Apr 12, 2018

Organization subpart

No

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

Authorized official

Name

Anne O Akinfenwa

Title

Ceo

Phone

(734) 262-2053

Specialties & licenses 5

Addresses

Other names 1

• CABB Behavioral Health LLC Other name

Locations

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1942707104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 SUPERIOR RD STE 123",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 SUPERIOR RD STE 123",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806331",
            "telephone_number": "734-258-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABB COMMUNITY SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "AKINFENWA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-262-2053"
    },
    "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": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABB Behavioral Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Buswinka, D.O.
• Angela Lynn-Cantu Buvia, OTR
• Meredith Buzzeo
• Angeline Bye, B.A.
• Amber Bywater
• Shana Mari Cacioppo, PSY. D, LLP
• Alisha Divonna Monea Camp, LPN
• An Vo Nhu Cao, MD
• Care Route Logistics
• Grace M Carela

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Taylor, MI
• Providers in Taylor, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.