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COMMUNITY LIVING AND SUPPORT SERVICES NPI 1679576573


NPI Information

NPI: 1679576573
Provider Name: COMMUNITY LIVING AND SUPPORT SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1400 S BRADDOCK AVE
PITTSBURGH, PA
ZIP 15218
Phone: (412) 683-7100
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COMMUNITY LIVING AND SUPPORT SERVICES is a durable medical equipment medical supplies in Pittsburgh, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COMMUNITY LIVING AND SUPPORT SERVICES NPI is 1679576573. The provider is registered as an organization entity type.

The provider's business location address is:

1400 S BRADDOCK AVE
PITTSBURGH, PA
ZIP 15218-264
Phone: (412) 683-7100
Fax: (412) 683-4160

The provider's authorized official is Al Condeluci .
The authorized official title is Chief Executive Director and has the following contact phone number (412) 683-7100.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 3/29/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services11173601PENNSYLVANIANo
2253Z00000XIn Home Supportive Care12973601PENNSYLVANIANo
3332B00000XDurable Medical Equipment & Medical Supplies6000005377PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000026610002MEDICAIDPENNSYLVANIA
21007170720004MEDICAIDPENNSYLVANIA
31000026610033MEDICAIDPENNSYLVANIA
41000026610045MEDICAIDPENNSYLVANIA

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

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