COMMUNITY CARE SERVICESLLC NPI 1346965100

NPI Information

NPI: 1346965100
Provider Name: COMMUNITY CARE SERVICES,LLC
Classification: Respite Care - 385HR2060X
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Entity Type: Organization
Address: 15618 W PORT AU PRINCE LN
SURPRISE, AZ
ZIP 85379
Phone: (608) 772-8655

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NPI Details

COMMUNITY CARE SERVICES,LLC is a respite care and mental retardation and/or developmental disabilities respite care in Surprise, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. COMMUNITY CARE SERVICES,LLC NPI is 1346965100. The provider is registered as an organization entity type.

The provider's business location address is:

15618 W PORT AU PRINCE LN
SURPRISE, AZ
ZIP 85379-283
Phone: (608) 772-8655

The provider's authorized official is Oyewale O Oyerinde .
The authorized official title is President and has the following contact phone number (608) 772-8655.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251E00000X	Home Health		No
3	253Z00000X	In Home Supportive Care		No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
5	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	Yes

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: 3/30/2025

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