COMMUNITY SUPPORT OPTIONS INC. NPI 1568676211

NPI Information

NPI: 1568676211
Provider Name: COMMUNITY SUPPORT OPTIONS, INC.

Other Name: GRIFFITH PLACE

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
1371 GRIFFITH AVE
WASCO, CA
ZIP 93280
Phone: (661) 758-5331
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COMMUNITY SUPPORT OPTIONS, INC. is an intermediate care facility mental illness in Wasco, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. COMMUNITY SUPPORT OPTIONS, INC. NPI is 1568676211. The provider is registered as an organization entity type.
The provider Other Name Is Griffith Place.

The provider's business location address is:

1371 GRIFFITH AVE
WASCO, CA
ZIP 93280-265
Phone: (661) 758-5331

The provider's authorized official is John Stockton .
The authorized official title is Ceo and has the following contact phone number (661) 758-5331.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 5/7/2008.

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
1	310500000X	Intermediate Care Facility, Mental Illness		050000518	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC80256F	OTHER	CALIFORNIA	LONG-TERM CARE

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: 4/28/2024

NPI Synchronization or Removal

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