Provider Demographics
NPI:1841466919
Name:COMMUNIT SUPPORT SYSTEM 'CSS LLC'.
Entity type:Organization
Organization Name:COMMUNIT SUPPORT SYSTEM 'CSS LLC'.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANEGER CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-793-8703
Mailing Address - Street 1:6307 BRECHIB DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613
Mailing Address - Country:US
Mailing Address - Phone:301-793-8703
Mailing Address - Fax:410-975-4614
Practice Address - Street 1:6307 BRECHIB DR
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613
Practice Address - Country:US
Practice Address - Phone:301-793-8703
Practice Address - Fax:410-975-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR 2529251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health