Provider Demographics
NPI:1295140101
Name:CONTRACTING SERVICES OF AMERICA
Entity type:Organization
Organization Name:CONTRACTING SERVICES OF AMERICA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:KISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-203-2191
Mailing Address - Street 1:725 N A1A STE A102
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4561
Mailing Address - Country:US
Mailing Address - Phone:561-203-2191
Mailing Address - Fax:561-203-7932
Practice Address - Street 1:725 N A1A
Practice Address - Street 2:SUITE # A106
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4571
Practice Address - Country:US
Practice Address - Phone:561-203-2191
Practice Address - Fax:561-203-7932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1314136OtherFLORIDA HME