COMMUNITY LIVING SUPPORT SERVICES LLC (NPI# 1750767257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750767257 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING SUPPORT SERVICES LLC |
| Other Organization Name | CLS |
| Practice Address |
6929 Calhoun Rd Albion MI 49224-9651 |
| Practice Telephone | 5175548788 |
| Practice Fax Number | 5174657103 |
| Mailing Telephone | 5175548788 |
| Mailing Fax Number | 5174657103 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | RENAE MICHELLE CLARK (LICENSEE DESIGNEE, ADMINISTRATOR) |
| Authorized Official Telephone | 5175548788 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | AS130374875 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| CLS | Doing Business As Name - Organization |
| Street Address |
6929 CALHOUN RD |
| City | ALBION |
| State | MI |
| Zip Code | 49224-9651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008823 | Tiffany B Stealy | Nurse Practitioner | 302 N. Monroe, Albion, MI 49224 | 2018-10-10 |
| 1194220012 | W A Foote Memorial Hospital Inc | Clinic/Center | 415 S Hannah St, Albion, MI 49224 | 2018-03-25 |
| 1336509660 | Oaklawn Dialysis Center of Albion, LLC | Clinic/Center | 350 North B Drive, Albion, MI 49224 | 2016-02-29 |
| 1306827985 | Parks Drug Store Inc | Pharmacist | 318 S Superior St, Albion, MI 49224 | 2005-11-09 |
| 1346625597 | Alexis Wilson-gamble | Licensed Practical Nurse | 1305 Cooper St, Albion, MI 49224-1029 | 2015-07-29 |
| 1043507379 | Ska At Home Visiting Doctor PC | Internal Medicine | 1302 N Eaton St Ste A, Albion, MI 49224-1041 | 2011-07-07 |
| 1639267842 | Ndubisi Eze Izima | Internal Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2006-10-11 |
| 1558620039 | Marion T Zarzycki | Dietitian, Registered | 1302 N Eaton St, Albion, MI 49224-1041 | 2012-05-03 |
| 1598086985 | Medical Marijuanna Certification and Family Practice, PC | Specialist | 1302 N Eaton St, Albion, MI 49224-1041 | 2010-06-19 |
| 1851627053 | At Home Doctors, PC | Family Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2009-10-22 |
| Find all providers in zip 49224 | ||||
| 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 |
|---|---|---|---|---|
| 1598957656 | Diakonos Counseling & Consultation Service | Community/Behavioral Health | 726 Austin Ave, Ste. 205, Albion, MI 49224-1073 | 2007-08-13 |
| 1306239926 | Albion Correctional Facility | Community/Behavioral Health | 3595 State School Rd, Albion, NY 14411-9348 | 2015-03-06 |
| 1205005758 | S E Illinois Counseling Ctrs | Community/Behavioral Health | 254 S 5th St, Albion, IL 62806-1121 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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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.