Healthcare Provider Details

I. General information

NPI: 1336092584
Provider Name (Legal Business Name): COMPREHENSIVE COMMUNITY SUPPORT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 W LEA ST
CARLSBAD NM
88220-2957
US

IV. Provider business mailing address

3110 W LEA ST
CARLSBAD NM
88220-2957
US

V. Phone/Fax

Practice location:
  • Phone: 575-909-4100
  • Fax:
Mailing address:
  • Phone: 575-909-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: TANESSA ALGEO
Title or Position: OWNER
Credential: CCSS
Phone: 575-909-4100