Healthcare Provider Details

I. General information

NPI: 1528970027
Provider Name (Legal Business Name): COMMUNITY SUPPORT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13709 W 8 MILE RD
DETROIT MI
48235-1531
US

IV. Provider business mailing address

1672 ESTATES DR
DETROIT MI
48206-2820
US

V. Phone/Fax

Practice location:
  • Phone: 313-623-3821
  • Fax:
Mailing address:
  • Phone: 313-623-3821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SUELL
Title or Position: OWNER
Credential:
Phone: 313-623-3821