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Community Access Unlimitd Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Roselle, NJ

NPI 1194245126 · NPPES record last updated Jun 21, 2017

Key facts

NPI
1194245126
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
COMMUNITY ACCESS UNLIMITD INC
Practice address
519 Chestnut St # 2a
Roselle, NJ 07203-1943
Phone
(908) 354-3040
NPI assigned
Jun 21, 2017
Organization subpart
No

Authorized official

Name
Sidney Blanchard
Title
Executive Director
Phone
(908) 354-3040

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Community Access Unlimited (149 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

519 Chestnut St # 2a
Roselle, NJ 07203-1943

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471
Phone (908) 354-3040

Other identifiers

IdentifierTypeStateIssuer
0374725MedicaidNJ

Other providers in Roselle, NJ

All providers in Roselle, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.