Provider Demographics
NPI:1184210387
Name:COMMUNITY SUPPORT HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY SUPPORT HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-466-4607
Mailing Address - Street 1:9501 WOODBERRY ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3426
Mailing Address - Country:US
Mailing Address - Phone:301-466-4607
Mailing Address - Fax:
Practice Address - Street 1:9501 WOODBERRY ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3426
Practice Address - Country:US
Practice Address - Phone:301-466-4607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care