MEDICARE: COMMUNITY SUPPORT SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	9928171	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053309294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY SUPPORT SERVICES, INC.

Provider Business Mailing Address
First Line	:	150 CROSS ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-1026
Country	:	US
Telephone Number	:	330-996-9141
Fax Number	:	330-253-0377

Provider Business Practice Location Address
First Line	:	150 CROSS ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-1026
Country	:	US
Telephone Number	:	330-996-9141
Fax Number	:	330-253-0377

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT STOKES
Credential	:
Telephone Number	:	330-996-9141

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	01/13/2025

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Directions to “COMMUNITY SUPPORT SERVICES, INC. ” Practice Location

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