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COMMUNITY ACCESS UNLIMITD INC NPI 1750801775


NPI Information

NPI: 1750801775
Provider Name: COMMUNITY ACCESS UNLIMITD INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
96 W GRAND ST APT 3
ELIZABETH, NJ
ZIP 07202
Phone: (908) 354-3040
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COMMUNITY ACCESS UNLIMITD INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Elizabeth, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNITY ACCESS UNLIMITD INC NPI is 1750801775. The provider is registered as an organization entity type.

The provider's business location address is:

96 W GRAND ST APT 3
ELIZABETH, NJ
ZIP 07202-416
Phone: (908) 354-3040

The provider's authorized official is Sidney Blanchard .
The authorized official title is Executive Director and has the following contact phone number (908) 354-3040.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10374725MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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