Organization Active NPI

Community Access Service

Doing business as Marryshow House

  • Assisted Living Facility
  • Sunrise, FL
National Provider Identifier
1679802722
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12115 Issued in FL
Legal business name
COMMUNITY ACCESS SERVICE
Doing business as
Marryshow House
Practice address
2141 NW 63Rd Ave
Sunrise, FL 33313-2915
Phone
(954) 234-2364
Fax
(954) 234-2595
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Ms. Nea Duncan Richardson
Title
President
Phone
(954) 234-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12115 FL Primary

Addresses

Primary practice location

2141 NW 63Rd Ave
Sunrise, FL 33313-2915

Mailing address

3810 Inverrary Blvd
Suite 408
Lauderhill, FL 33319-4356
Phone (954) 234-2364

Other identifiers 2

IdentifierTypeStateIssuer
006136900MedicaidFL
111190100MedicaidFL

Other names 1

  • Marryshow House Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cascares@outlook.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Community Access Care2 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": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1679802722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 INVERRARY BLVD",
            "address_2": "SUITE 408",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194356",
            "telephone_number": "954-234-2364",
            "fax_number": "954-234-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 NW 63RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132915",
            "telephone_number": "954-234-2364",
            "fax_number": "954-234-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "NEA",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-234-2364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006136900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111190100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cascares@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2141 NW 63rd Ave",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333132915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marryshow House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marryshow House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.