Provider Demographics
NPI:1508027350
Name:COMMUNITY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-870-3712
Mailing Address - Street 1:14292 E EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1432
Mailing Address - Country:US
Mailing Address - Phone:720-870-3712
Mailing Address - Fax:720-870-3743
Practice Address - Street 1:14292 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1432
Practice Address - Country:US
Practice Address - Phone:720-870-3712
Practice Address - Fax:720-870-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251C00000X, 253Z00000X
385HR2050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp