NPI Information

  • NPI: 1215732771
  • Provider Name: COMPASSION COMMUNITY SERVICES, INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 963 RUSSELL AVE STE D963
    GAITHERSBURG, MD
    ZIP 20879
  • Phone: (240) 413-1428

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NPI Details

COMPASSION COMMUNITY SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Gaithersburg, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMPASSION COMMUNITY SERVICES, INC NPI is 1215732771. The provider is registered as an organization entity type.

The provider's business location address is:

963 RUSSELL AVE STE D963
GAITHERSBURG, MD
ZIP 20879-287
Phone: (240) 413-1428
Fax: (240) 386-1197

The provider's authorized official is Clifford Kibang .
The authorized official title is Ceo and has the following contact phone number (240) 413-1428.

The enumeration date for this NPI number is 2/18/2025 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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