Healthcare Provider Details

I. General information

NPI: 1457565962
Provider Name (Legal Business Name): COMMUNITY MULTI-SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 COLESVILLE RD STE 500
SILVER SPRING MD
20910-6339
US

IV. Provider business mailing address

8401 COLESVILLE RD STE 500
SILVER SPRING MD
20910-6339
US

V. Phone/Fax

Practice location:
  • Phone: 301-588-9280
  • Fax: 301-588-9287
Mailing address:
  • Phone: 301-588-9280
  • Fax: 301-588-9287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0226
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0006
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0052
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0200
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0095
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0085
License Number StateDC
# 7
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0083
License Number StateDC
# 8
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0251
License Number StateDC
# 9
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0282
License Number StateDC
# 10
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0288
License Number StateDC
# 11
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberHFD03-0044
License Number StateDC

VIII. Authorized Official

Name: MR. HOLLIS REESE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 301-588-9280