PHOENIX COMMUNITY SUPPORT SERVICES LLC (NPI# 1740893346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740893346 |
| Entity Type | Organization |
| Organization Name | PHOENIX COMMUNITY SUPPORT SERVICES LLC |
| Practice Address |
4111 Avenue L Birmingham AL 35208-1807 |
| Practice Telephone | 2053463123 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | LASHUNDA SMITH-POPE (OWNER/CEO) |
| Authorized Official Telephone | 2053463123 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX COMMUNITY SUPPORT SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Phoenix Community Support Services LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099186 | Phoenix Community Support Services LLC | Nursing Care | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-10-09 |
| Street Address |
4111 AVENUE L |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35208-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099186 | Phoenix Community Support Services LLC | Nursing Care | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-10-09 |
| 1255944856 | Lashunda Smith-pope | Day Training/Habilitation Specialist | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030377 | Angelica Winston | Technician | 2042 48th Pl Ensley, Birmingham, AL 35208 | 2020-07-13 |
| 1275189276 | Mary Ruth Dowdell | Technician | 1605 Bush Blvd, B'ham, AL 35208 | 2019-08-15 |
| 1184161937 | Chernise Camberian Whitaker | Licensed Practical Nurse | 2561 29st Ensley, Birmingham, AL 35208 | 2017-01-31 |
| 1669884011 | Delores Johnson | Specialist | 1760-50th Street West, Birmingham, AL 35208 | 2014-05-20 |
| 1215193750 | Gilbert Robbins IIi | Counselor | 1570 Bessemer Road, The Counseling Center, Birmingham, AL 35208 | 2008-08-04 |
| 1508020421 | Richard E Morgan Sr. | Dentist | 3041 Ensley Av, Birmingham, AL 35208 | 2008-07-10 |
| 1235342379 | Morris Lee Panter | Chiropractor | 1401 3rd Ave, West, Suite 108, Birmingham, AL 35208 | 2007-05-07 |
| 1922105832 | Thomas Allen Quinn | Pharmacist | 2200 Bessemer Hwy, Winn Dixie Pharmacy # 0405, Birmingham, AL 35208 | 2006-09-20 |
| 1598849135 | Sara Harper Nauck | Pharmacist | 2220 Bessemer Hwy, Birmingham, AL 35208 | 2006-10-24 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| Find all providers in zip 35208 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652785 | Perfect Imperfections Behavioral Health Services LLC | Community/Behavioral Health | 1829 Princeton Ct Sw, Birmingham, AL 35211-2430 | 2020-09-03 |
| 1295390995 | Infinity Group Home LLC | Community/Behavioral Health | 1412 Cahaba River Parc, Birmingham, AL 35243-3269 | 2019-05-08 |
| 1467911461 | Rize Therapeutic Mentoring Service | Community/Behavioral Health | 429 Green Springs Hwy Ste 161, Birmingham, AL 35209-4938 | 2019-03-19 |
| 1366918047 | Healing Branches Transformatons LLC | Community/Behavioral Health | 5915 Princess Blvd, Birmingham, AL 35215-8500 | 2018-10-19 |
| 1720595291 | Amy Ray LLC | Community/Behavioral Health | 5520 Highway 280 Ste 4, Birmingham, AL 35242-2308 | 2018-01-05 |
| 1891210902 | Sunshine Health Systems | Community/Behavioral Health | 808 20th St S, Birmingham, AL 35205-2752 | 2017-08-09 |
| 1437672300 | Parkway Learning Center for Adults LLC | Community/Behavioral Health | 9000 Parkway E, Birmingham, AL 35206-1557 | 2017-07-21 |
| 1912446832 | Exceeding Contentment Behavioral Health, Inc | Community/Behavioral Health | 1717 2nd Ave W, Birmingham, AL 35208-5205 | 2017-02-13 |
| 1639620735 | Alcohol and Drug Abuse Council | Community/Behavioral Health | 1923 14th Ave S, Birmingham, AL 35205-4905 | 2016-10-24 |
| 1821490582 | Rapport, LLC | Community/Behavioral Health | 322 La Prado Circle, Birmingham, AL 35209 | 2014-09-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35208 |
Please comment or provide details below to improve the information on PHOENIX COMMUNITY SUPPORT SERVICES LLC.
| 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.