COMMUNITY CARE SERVICES NPI 1023146792

Exclusive Provider Organization in Lincoln Park, MI

About COMMUNITY CARE SERVICES

Community Care Services is a provider in Lincoln Park, MI. The NPI number assigned to this provider is 1023146792. The practitioner's primary taxonomy code is Exclusive Provider Organization (302F00000X). The provider is registered as an organization and their NPI record was last updated 7 years ago.

NPI

1023146792

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCOMMUNITY CARE SERVICES
Provider Location Address1736 FORT ST LINCOLN PARK, MI 48146 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address28541 SPRUCE DR FLAT ROCK, MI 48134 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-02-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-30-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code302F00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationExclusive Provider Organization
TypeManaged Care Organizations
Taxonomy Description(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Business Address

COMMUNITY CARE SERVICES
1736 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 382-7861

Get Directions

Mailing Address

COMMUNITY CARE SERVICES
28541 SPRUCE DR
FLAT ROCK, MI
ZIP 48134
Phone: (734) 782-4453

Authorized Official

Authorized Official NameMR. RAYMOND KYLE BAYNE III MED. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleMENTAL HEALTH THERAPIST III
Authorized Official Phone(313) 382-7861

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316085491 M. STEPHANIE SORBET LMSW
Individual
Social Worker (Clinical)1736 FORT ST
LINCOLN PARK, MI 48146
(313) 382-7861
1649300013MS. JUDITH ANNE PLECHA R.N.
Individual
Registered Nurse (Psych/Mental Health, Adult)1736 FORT ST
LINCOLN PARK, MI 48146
(313) 382-7861
1932301371MRS. PEGGY ANN BYBERG
Individual
Specialist1736 FORT ST
LINCOLN PARK, MI 48146
(313) 382-7861
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