Community Access, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

COMMUNITY ACCESS, INC

Practice address

2040 Shiloh Rd
Tyler, TX 75703-2612

Phone

(903) 595-5644

Fax

(903) 526-0881

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Redman

Title

Ceo

Phone

(903) 595-5644

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1578631024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHILOH RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032612",
            "telephone_number": "903-595-5644",
            "fax_number": "903-526-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHILOH RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032612",
            "telephone_number": "903-595-5644",
            "fax_number": "903-526-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-595-5644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacy Combest, MS
• Pamela Combest
• Combined Medical Rehab Partners, LP
• Dennis Roynald Combs, PH.D.
• Natalye Combs, MSN, APRN, FNP-C
• Community Health Clinic of Northeast Texas
• Community Health Clinics of Northeast Texas
• Community Health Clinics of Northeast Texas
• Community Health Clinics of Northeast Texas
• Community Health Clinics of Northeast Texas

• Intellectual Disabilities Intermediate Care Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.