# CCS-OAKLAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CCS-Oakland LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306661616
- **Authorized official:** PATRICIA FANELLI CCP (PRESIDENT)
- **Authorized official phone:** (734) 525-9712

## Contact information

- **Practice address:** 45211 HELM ST, PLYMOUTH, MI 48170-6023
- **Practice address phone:** (734) 525-9712
- **Mailing address:** 45211 HELM ST, PLYMOUTH, MI 48170-6023
- **Mailing address phone:** (734) 525-9712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | — | NULL | Yes |
| 242T00000X | Perfusionist | — | — | Yes |
| 246Z00000X | Other Specialist/Technologist | — | NULL | — |
| 246Z00000X | Other Specialist/Technologist | — | — | — |
| 247000000X | Health Information Technician | — | NULL | — |
| 247000000X | Health Information Technician | — | — | — |

## Other

- **Enumeration date:** 11/21/2024
- **Last updated:** 11/21/2024