Organization Active NPI

Community Based Services and Consulting Group Inc

  • Developmentally Disabled Services Day Training Agency
  • Ocala, FL
National Provider Identifier
1609037589
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY BASED SERVICES AND CONSULTING GROUP INC
Practice address
12948 SW 62ND Street Rd
Ocala, FL 34481-3459
Phone
(352) 465-3551
Fax
(352) 465-3549
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Rick Dexter Standridge
Title
Executive Director Owner
Phone
(352) 465-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

12948 SW 62ND Street Rd
Ocala, FL 34481-3459

Mailing address

PO Box 1108
Dunnellon, FL 34430-1108
Phone (352) 465-3551

Other identifiers 1

IdentifierTypeStateIssuer
686171796MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Community Based Services and Consulting Group Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1609037589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344301108",
            "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": "12948 SW 62ND STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344813459",
            "telephone_number": "352-465-3551",
            "fax_number": "352-465-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED SERVICES AND CONSULTING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "DEXTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OWNER",
        "authorized_official_telephone_number": "352-465-3551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686171796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.