Active NPI
Community-Based Services & Consulting Group, Inc.
- Community/Behavioral Health Agency
- Dunnellon, FL
National Provider Identifier
1033286356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COMMUNITY-BASED SERVICES & CONSULTING GROUP, INC.
- Practice address
- 20491 The Granada
Dunnellon, FL 34432-6064 - Phone
- (352) 465-3551
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rickey D Standridge
- Title
- Executive Director
- Phone
- (352) 465-3551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
20491 The Granada
Dunnellon, FL 34432-6064
Mailing address
16083 SW 22ND LN
Ocala, FL 34481-8729
Phone (352) 465-3551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686171798 | Other | FL | PROVIDER ID NUMBER |
| 686171796 | Other | FL | PROVIDER ID NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Community Based Services and Consulting Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Ocala, FL
- NPI 1609037589
Locations
20491 The Granada
Dunnellon, FL 34432
Phone (352) 465-3551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1033286356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW 22ND LN",
"city": "OCALA",
"state": "FL",
"postal_code": "344818729",
"telephone_number": "352-465-3551",
"fax_number": "352-465-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20491 THE GRANADA",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344326064",
"telephone_number": "352-465-3551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY-BASED SERVICES & CONSULTING GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "STANDRIDGE",
"authorized_official_first_name": "RICKEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "352-465-3551",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "686171798",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "686171796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunnellon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.