Provider Demographics
NPI:1427284306
Name:COMMUNITY CARE SERVICES
Entity type:Organization
Organization Name:COMMUNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:SCHNECK
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:620-456-2817
Mailing Address - Street 1:216 S 7TH ST
Mailing Address - Street 2:PO BOX 152
Mailing Address - City:CONWAY SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:67031-8272
Mailing Address - Country:US
Mailing Address - Phone:620-456-2817
Mailing Address - Fax:
Practice Address - Street 1:216 S 7TH ST
Practice Address - Street 2:
Practice Address - City:CONWAY SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:67031-8272
Practice Address - Country:US
Practice Address - Phone:620-456-2817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-70267-101171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty