Provider Demographics
NPI:1730153693
Name:CLIENT COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:CLIENT COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KUHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-376-3171
Mailing Address - Street 1:826 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-2329
Mailing Address - Country:US
Mailing Address - Phone:507-376-3171
Mailing Address - Fax:507-376-3165
Practice Address - Street 1:826 5TH AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-2329
Practice Address - Country:US
Practice Address - Phone:507-376-3171
Practice Address - Fax:507-376-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN801983-2-SILS251C00000X
MN802803-1-RS315P00000X
MN802833-3-WS320900000X
MN804586-3-WS320900000X
MN802834-3-WS320900000X
MN1013799-3-WS320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4874528OtherMN DHS PROVIDER NUMBER
MN1218204OtherMN DHS PROVIDER NUMBER
MN2586185OtherMN DHS PROVIDER NUMBER
MN4253205OtherMN DHS PROVIDER NUMBER
MN7640200OtherMN DHS PROVIDER NUMBER
MN0733211OtherDHS PROVIDER NUMBER
MN1684221OtherMN DHS PROVIDER NUMBER
MN3752267OtherMN DHS PROVIDER NUMBER
MN1058207OtherMN DHS PROVIDER NUMBER
MN6540180OtherMN DHS PROVIDER NUMBER
MN2436256OtherMN DHS PROVIDER NUMBER
MN4697278OtherDHS PROVIDER NUMBER
MN6876773OtherMN DHS PROVIDER NUMBER
MN0488437OtherMN DHS PROVIDER NUMBER
MN5123208OtherMN DHS PROVIDER NUMBER
MN7965206OtherMN DHS PROVIDER NUMBER
MN3080200OtherMN DHS PROVIDER NUMBER
MN0595209OtherMN DHS PROVIDER NUMBER
MN7573201OtherMN DHS PROVIDER NUMBER