COMMUNITY SUPPORT SYSTEMS


Address: 2311 Veterans Drive, Effingham, IL 62401
Phone: 2177183798

COMMUNITY SUPPORT SYSTEMS (NPI# 1770930968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770930968
Entity Type Organization
Organization Name COMMUNITY SUPPORT SYSTEMS
Other Organization Name ARC COMMUNITY SUPPORT SYSTEMS
Practice Address 2311 Veterans Drive
Effingham
IL 62401
Mailing Address 618 W Main St
Teutopolis
IL 62467-1210
Practice Telephone 2177183798
Mailing Telephone 2177054300
Enumeration Date 2016-05-18
Last Update Date 2016-08-15
Authorized Official Name MR. ANDREW KISTLER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2177054298
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
ARC Community Support Systems Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215041991 Community Support Systems Community/Behavioral Health 618 W Main St, Teutopolis, IL 62467-1210 2006-08-18

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COMMUNITY SUPPORT SYSTEMS 618 W Main St, Teutopolis, IL 62467-1210

Office Location

Street Address 2311 VETERANS DRIVE
City EFFINGHAM
State IL
Zip Code 62401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1033632187 Diel Counseling Inc. Counselor 444 S. Willow #7, Effingham, IL 62401 2017-07-20
1194107102 Radhika Annam Internal Medicine 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 2015-06-25
1912334558 Ruben Boyajian, Md Surgery 904 Medical Park Drive, Suite 2, Effingham, IL 62401 2013-09-27
1427483502 Daniel E Czajkowski Physical Therapist 2611 S Banker St, Effingham, Il, Effingham, IL 62401 2013-09-09
1093140501 Lifetime Dental Care of Maryland, Badger, P.C. Dentist 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 2013-09-04
1689926487 Wellness Loft Inc. Counselor 408 South 4th St., Effingham, IL 62401 2012-10-04
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1952699894 Jonathan Workman Orthopaedic Surgery 1303 W Evergreen Ave Ste 101, Effingham, IL 62401 2011-07-13
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710159645 Community Living Options Inc Intermediate Care Facility, Mentally Retarded 1101 S Third Street, Effingham, IL 62401-4022 2008-04-01
1508038951 Community Living Options Inc Intermediate Care Facility, Mentally Retarded 1026 N Merchant Street, Effingham, IL 62401-2125 2008-03-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871039669 Mount St Joseph Intermediate Care Facility, Mentally Retarded 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 2017-01-17
1447792221 Shore Community Services, Inc. Intermediate Care Facility, Mentally Retarded 8350 Laramie Ave, Skokie, IL 60077-2461 2016-11-10
1265898266 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 102 S Douglas St, Mc Leansboro, IL 62859-1637 2016-01-06
1164888160 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 1406 W Delaware St, Fairfield, IL 62837-2336 2016-01-06
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06
1437515434 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 206 N Washington St, Mc Leansboro, IL 62859-1049 2016-01-06
1790141885 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 212 Turning Leaf Cir, Belleville, IL 62221-6747 2016-01-06
1790141794 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 867 County Road 2150 E, Fairfield, IL 62837-2824 2016-01-06
1255797254 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 2016-01-06
1093110066 Ottawa Friendship House Work Activity Center, Inc Intermediate Care Facility, Mentally Retarded 600 West 12th Street, Streator, IL 61364 2014-11-03
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Competitor

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City EFFINGHAM
Zip Code 62401

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Dataset Information

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.

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