# COMMUNITY CARE SERVICES 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
- **Parent organization:** COMMUNITY CARE SERVICES LLC
- **Other names:** Renown Medical Group Pediatric Specialty Care, Renown Medical Group Pediatric Hematology and Oncology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487125977
- **Legal business name:** COMMUNITY CARE SERVICES LLC
- **Authorized official:** BRETT MOORE (CFO ACUTE CARE)
- **Authorized official phone:** (775) 982-6343

## Contact information

- **Practice address:** 75 PRINGLE WAY STE 505, RENO, NV 89502-1469
- **Practice address phone:** (775) 982-5437
- **Practice address fax:** (775) 982-3895
- **Mailing address:** 1155 MILL ST \# M14, RENO, NV 89502-1576
- **Mailing address phone:** (775) 982-5262
- **Mailing address fax:** (775) 982-5496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 207SG0202X | Clinical Biochemical Genetics Physician | — | NULL | — |
| 207SG0202X | Clinical Biochemical Genetics Physician | — | — | — |
| 2080P0205X | Pediatric Endocrinology Physician | — | NULL | — |
| 2080P0205X | Pediatric Endocrinology Physician | — | — | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | NULL | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | — |
| 2080P0210X | Pediatric Nephrology Physician | — | — | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 04/09/2025