PROFESSIONAL COMMUNITY SUPPORT SERVICES (NPI# 1073017364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073017364 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL COMMUNITY SUPPORT SERVICES |
| Practice Address |
16 Mckinley St Linden NJ 07036-1747 |
| Mailing Address |
631 N Broad St Apt B18 Elizabeth NJ 07208-3497 |
| Practice Telephone | 9082757907 |
| Mailing Telephone | 9082757907 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DAVID MUTAAWE (CEO) |
| Authorized Official Telephone | 9082757907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
16 MCKINLEY ST |
| City | LINDEN |
| State | NJ |
| Zip Code | 07036-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556572 | Dinesh T Patel | Pharmacist | 1050 West Edgar Road, Linden, NJ 07036 | 2020-10-20 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1447743778 | Dream | Counselor | 811 Ainsworth St, Linden, NJ 07036 | 2018-06-12 |
| 1619483997 | Erin Marie Sisk | Occupational Therapist | 210 St Georges Avenue, Linden, NJ 07036 | 2017-12-21 |
| 1225580251 | Erin Guidera | Physical Therapist | 548 Elmwood Terrace, Linden, NJ 07036 | 2016-10-25 |
| 1386066496 | Gyrlfriendz Beauty Salon | Specialist | 115 N. Wood Avenue, Linden, NJ 07036 | 2014-01-08 |
| 1750644829 | Ana F Ramos | Health Educator | 638 Lindegar, Linden, NJ 07036 | 2012-06-22 |
| 1639448616 | Advanced Family Medical Associates, PC | Clinic/Center | 901 North Wood Avenue, Linden, NJ 07036 | 2011-12-21 |
| 1710262217 | Gabriela Kostikova | Pharmacist | 22 St George Ave, Linden, NJ 07036 | 2011-10-15 |
| 1144503608 | Kimberly Theresa Hendricksen | Behavioral Analyst | 1112a University Terrace, Linden, NJ 07036 | 2011-09-21 |
| Find all providers in zip 07036 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957682 | Affinity Care & Counseling LLC | Case Management | 724 Haven Pl, Linden, NJ 07036-5821 | 2019-05-16 |
| 1043510977 | Nightingale Resource Center, Inc | Case Management | 320 Lancelot Ct, Linden, NC 28356-8052 | 2010-10-26 |
| 1134263957 | Marengo County Health Dept Fp Cm | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-16 |
| 1003950007 | Marengo County Health Dept Pat 1st Cm | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-16 |
| 1265575401 | Marengo County Health Dept Mat Cm | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-15 |
| 1588707962 | Marengo County Health Dept Epsdt Cm | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-15 |
| 1912040346 | Marengo County Health Dept Child | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-15 |
| 1033252309 | Marengo County Health Dept Aids | Case Management | 303 Industrial Dr, Linden, AL 36748-2002 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457245 | Partners In Change | Case Management | 186 Oakmanor Pkwy, South Plainfield, NJ 07080-4923 | 2020-11-06 |
| 1932719655 | A Second Touch | Case Management | 1138 E Chestnut Ave Ste 1b, Vineland, NJ 08360-5053 | 2020-08-06 |
| 1891304242 | Consistent Supports Coordination, LLC | Case Management | 1200 Route 22 Ste 200, Bridgewater, NJ 08807-2943 | 2020-07-30 |
| 1457978942 | 100kids Inc | Case Management | 192 Clinton Ave Apt 3h, Jersey City, NJ 07304-1696 | 2020-06-30 |
| 1336762111 | Shore Direct Care, LLC. | Case Management | 514 S 4th Ave, Galloway, NJ 08205-9503 | 2020-05-27 |
| 1720618523 | Behavior Intervention Group.corp | Case Management | 625 Broad St Ste 240, Newark, NJ 07102-4417 | 2020-01-21 |
| 1083253850 | Friends of Cyrus Inc | Case Management | 2245 Us Highway 130 Ste 107, Dayton, NJ 08810-2420 | 2019-12-27 |
| 1942844733 | Able Support Coordination LLC | Case Management | 147 Barry Dr N, Highland Lakes, NJ 07422-1014 | 2019-11-05 |
| 1770126286 | A Care Connection of New Jersey, LLC | Case Management | 7 Equestrian Way, Chesterfield, NJ 08515 | 2019-10-28 |
| 1194368175 | Ashanti S Michael | Case Management | 1225 Whitehorse Mercerville Rd Bldg B, Hamilton, NJ 08619-3882 | 2019-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.