Community Intervention Services Llc

LBN: Community Intervention Services Llc
Community Intervention Services Llc is an health care organization with primary practice located at 710 Courtlandt Avenue , Bronx NY 10451. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Neurology, Agencies / Case Management, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Community Intervention Services Llc can be contacted via phone (718) 915-6443, or through Burkett, Catina via phone (917) 495-1978.

Contact Information

Primary practice address
710 Courtlandt Avenue Bronx NY 10451
Phone: (718) 915-6443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burkett, Catina
Phone: (917) 495-1978

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1073015392
LBN Legal business name Community Intervention Services Llc
DBA Doing business as
Authorized official Burkett, Catina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2018
Last updated Sep 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073015392 NPPES
New York MEDICAID 00090887
New York MEDICAID 01635529

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