Community Access Providers, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Melbourne, FL
NPI 1366499204 · NPPES record last updated Apr 26, 2011
Key facts
- NPI
- 1366499204
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 686963796 (FL)
- Legal business name
- COMMUNITY ACCESS PROVIDERS, INC.
- Practice address
- 102 E New Haven Ave
138
Melbourne, FL 32901-4502 - Phone
- (321) 213-0446
- Fax
- (321) 259-6466
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Amee' D Cartmell
- Title
- President/Director of Life Skills
- Phone
- (321) 213-0446
National Provider Directory
Locations
102 E New Haven Ave
#138
Melbourne, FL 32901
Phone (321) 213-0446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 686963796 | FL | Yes |
Addresses
Primary practice location
102 E New Haven Ave
138
Melbourne, FL 32901-4502
Mailing address
102 E New Haven Ave
138
Melbourne, FL 32901-4502
Phone (321) 213-0446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686963796 | Medicaid | FL |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.