MEDICARE: CSI PRIVATE DUTY 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	3747A0650X	Attendant Care Provider

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	:	1851724199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSI PRIVATE DUTY SERVICES, INC

Provider Business Mailing Address
First Line	:	33 S STATE ST FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-2804
Country	:	US
Telephone Number	:	312-762-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 PELICAN BAY DR
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-1381
Country	:	US
Telephone Number	:	386-761-7351
Fax Number	:	386-761-9923

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER, SECRETARY
Name	:	JOSEPH BONACCORSI
Credential	:
Telephone Number	:	312-762-9999

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	10/10/2024

Similar Medicare Providers

1891785663 — DR. ARTHUR CARRIZALES MD
Practice Location Address:

1381 SOUTH PATRICK DRIVE , PATRICK HEALTH CARE CLINIC
PATRICK AFB, FL
32925

Practice Phone: 210-916-3000
Practice Fax: 210-295-4895

1043299704 — GAYLE LOUISE DILLER D.O.
Practice Location Address:

1381 SOUTH PATRICK DRIVE , 45 MDG/FAMILY HEALTH CLINIC
PAFB, FL
32925

Practice Phone: 321-494-1146
Practice Fax:

1265404990 — IAN JAMES JOHNSON M.D.
Practice Location Address:

1381 SOUTH PATRICK DR, PATRICK AFB , 45 MEDICAL GROUP
PATRICK AFB, FL
32925-4162

Practice Phone: 321-494-8152
Practice Fax: 321-494-8533

1588623664 — JOSHUA WHITE MD
Practice Location Address:

GIFFORD MEDICAL CENTER , 44 SOUTH MAIN ST.
RANDOLPH, VT
05060-1381

Practice Phone: 802-728-7000
Practice Fax:

1629286265 — HIGHLAND HOSPITAL
Practice Location Address:

1381 SOUTH AVE
ROCHESTER, NY
14620-2830

Practice Phone: 585-506-9484
Practice Fax:

1831330257 — SALLY J ROUSSEAU SALLY ROUSSEAU
Practice Location Address:

1381 SOUTH AVE
ROCHESTER, NY
14620-2830

Practice Phone: 585-506-9484
Practice Fax:

Directions to “CSI PRIVATE DUTY SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.