Community Access to Child Health of Brevard, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC

Doing business as

Space Coast Early Steps

Practice address

1264 US Highway 1 Ste 103
Rockledge, FL 32955-2746

Phone

(321) 634-3688

Fax

(321) 504-0955

NPI assigned

Feb 15, 2022

Organization subpart

Yes

Parent organization

COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INCAs reported in NPPES

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

Authorized official

Name

Lisa Kay Gemmill

Title

HR Manager

Phone

(321) 634-3688

Specialties & licenses 1

Addresses

Other names 1

• Space Coast Early Steps Doing business as

Tax ID family

Community Access to Child Health of Brevard Inc5 organizations share this tax ID, including this one

Part of

Community Access to Child Health of Brevard Inc

Other organizations with this tax ID 4

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

• Community Access to Child Health of Brevard, Inc

  dba Space Coast Early Steps

  • Case Management Registered Nurse
  • Rockledge, FL
  • NPI 1962624403
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Case Management Agency
  • Rockledge, FL
  • NPI 1053533596
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Developmental Disabilities Clinic/Center
  • Rockledge, FL
  • NPI 1326260860
  NPD tax ID
• Community Access to Child Health of Brevard, Inc.

  • Primary Care Clinic/Center
  • Viera, FL
  • NPI 1851439608
  NPD tax ID

Locations

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1679228027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1 STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-634-3688",
            "fax_number": "321-504-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1 STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-634-3688",
            "fax_number": "321-504-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "GEMMILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "321-634-3688"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Coast Early Steps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guillermo Enrique Columbie II, DC
• Emine Julide Comer, A.R.N.P.
• Comfort Care House Calls
• Comfortable Care Dental Health Professionals, P.a. (Dental Care of Viera East)
• Comfortable Care Dental Health Professionals, P.a. (Stadium Family Dentistry)
• Community Access to Child Health of Brevard, Inc (Space Coast Early Steps)
• Community Access to Child Health of Brevard, Inc.
• Community Access to Child Health of Brevard, Inc.
• Compassionate Counseling of Florida, Inc
• Connected Thriving Counseling and Wellness

• Early Intervention Provider Agency in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.