National Provider Identifier Database

COMMUNITY SUPPORT SERVICES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

COMMUNITY SUPPORT SERVICES, INC.
9075 COMPRINT CT
GAITHERSBURG, MD20877-1306
Phone: 301-926-2300
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY SUPPORT SERVICES, INC.

NPI Number 1578008546
Legal business name
LBN
COMMUNITY SUPPORT SERVICES, INC.
Authorized official PATRICK GRAVELINE - (DEPUTY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/30/2016
Last updated 12/30/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 0179
  • MD Medicaid: 1609915495

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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