National Provider Identifier Database

COMMUNITY INTEGRATED SERVICES
Intellectual & Developmental Disabilities

Contact Information

COMMUNITY INTEGRATED SERVICES
441 N 5TH ST STE 101
PHILADELPHIA, PA  19123-4009
Phone: 215-870-7667
Fax: 215-238-7423
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X
Day Training, Developmentally Disabled Services 251C00000X
In Home Supportive Care 253Z00000X
Orientation and Mobility Training Provider 225CX0006X
Rehabilitation 103TR0400X

* Indicates primary specialty

NPI Profile & details for COMMUNITY INTEGRATED SERVICES

NPI Number 1235738824
Legal business name
LBN		 COMMUNITY INTEGRATED SERVICES
Authorized official SUSAN SCHONFELD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/23/2020
Last updated 03/12/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • DE Medicaid: 000000057
  • DE Medicaid: 000000060
  • DE Medicaid: 250604976

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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