Provider Demographics
NPI:1891730370
Name:COMMUNITY CARE SERVICES
Entity Type:Organization
Organization Name:COMMUNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-993-1010
Mailing Address - Street 1:900 EASTON AVE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1760
Mailing Address - Country:US
Mailing Address - Phone:732-993-1010
Mailing Address - Fax:732-418-0111
Practice Address - Street 1:900 EASTON AVE
Practice Address - Street 2:SUITE 22
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1760
Practice Address - Country:US
Practice Address - Phone:732-993-1010
Practice Address - Fax:732-418-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1K8267OtherPHS
NJ7623607Medicaid
A1041238OtherOXFORD
26387OtherUHP
AETNA/USHCOther0993479
NJ7623607Medicaid