Community Services To Support Independence
Day Training, Developmentally Disabled Services in Bridgeport, Connecticut
1700598588- Practice location
- 555 Westfield Ave, Bridgeport, CT 06606-4133
- Phone
- 646-228-9582
- Fax
- 646-228-9582
- Last updated
- December 23, 2022
Community Services To Support Independence is a healthcare organization based in Bridgeport, CT. Community Services To Support Independence practices in Bridgeport, CT. The NPI Number for Community Services To Support Independence is 1700598588. The current practice location address for Community Services To Support Independence is 555 Westfield Ave, Bridgeport, CT 06606-4133 and can be reached out via phone at 646-228-9582 and via fax at 646-228-9582.
Provider Profile Details
- NPI Number
- 1700598588
- Provider Name
- Community Services To Support Independence
- Provider Entity Type
- Organization
- Address
- 555 Westfield Ave, Bridgeport, CT 06606-4133
- Phone Number
- 646-228-9582
- Fax Number
- 646-228-9582
- Primary Taxonomy
- Day Training, Developmentally Disabled Services · 251C00000X
- Organization Subpart
- No
- Authorized Official
- Maxine Vaughn, L-MHC · Founder · 917-753-9297
- Provider Enumeration Date
- December 23, 2022
- Last Update Date
- December 23, 2022
- Certification Date
- December 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Westfield Ave
Bridgeport, CT 06606-4133 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-4133
- Phone Number
- 646-228-9582
- Fax Number
- 646-228-9582
Provider Business Mailing Address Details
- Address
- 555 Westfield Ave
Bridgeport, CT 06606-4133 - City
- Bridgeport
- State
- CT
- Zip
- 06606-4133
- Phone Number
- 646-228-9582
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- Supports Brokerage · 251X00000X
- Taxonomy (4)
- Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child · 385HR2060X
- Taxonomy (5)
- Day Training, Developmentally Disabled Services · 251C00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Community Services To Support Independence?
The NPI number of Community Services To Support Independence is 1700598588. It was assigned on December 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Community Services To Support Independence?
Community Services To Support Independence is registered under the primary taxonomy Day Training, Developmentally Disabled Services (code 251C00000X).
Where does Community Services To Support Independence practice?
The practice location is 555 Westfield Ave, Bridgeport, CT 06606-4133. The office can be reached at 646-228-9582 (phone) or 646-228-9582 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700598588 directly on the NPPES registry website.