Community Access Services II, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

COMMUNITY ACCESS SERVICES II, INC.

Practice address

1815 NW 169TH PL Ste 1060
Beaverton, OR 97006-7365

Phone

(503) 533-4373

Fax

(503) 533-5833

NPI assigned

May 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ed Little

Title

Fiscal Director

Phone

(503) 533-4373

Specialties & licenses 1

Addresses

Other names 1

• Community Access Services Doing business as

Tax ID family

Community Access Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Access Services II, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Beaverton, OR
  • NPI 1184240558
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1013653005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 1060",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067365",
            "telephone_number": "503-533-4373",
            "fax_number": "503-533-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 1060",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067365",
            "telephone_number": "503-533-4373",
            "fax_number": "503-533-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 NW 169th Pl Ste 1060",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067365",
            "country_code": "US",
            "telephone_number": "503-533-4373",
            "fax_number": "503-533-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ACCESS SERVICES II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "503-533-4373"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Access Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Colver
• Derin Colvin
• Judith C. Colwell, PH.D.
• Wayne Ellsworth Colwell, PH.D.
• Rachel Ann Comingore, OTR/L
• Community Access Services II, Inc.
• Companion Pet Clinic
• Compass Psychiatric Wellness LLC
• Complete Family Care
• Stacey Marie Condray

• All providers in Beaverton, OR
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.