NPIMap

Organization Active NPI

Community Assisted and Supported Living, Inc.

  • Case Management Agency
  • Sarasota, FL
National Provider Identifier
1982862686
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY ASSISTED AND SUPPORTED LIVING, INC.
Practice address
2911 Fruitville Rd
Sarasota, FL 34237-5320
Phone
(941) 225-2373
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Julian S Eller
Title
Ceo
Phone
(941) 225-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2911 Fruitville Rd
Sarasota, FL 34237-5320

Mailing address

1401 16TH St
Sarasota, FL 34236-2519

Other names 1

  • Renaissance Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Assisted and Supported Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

12497 Tamiami Trl S
Ste 10
North Port, FL 34287

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1982862686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 16TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375320",
            "telephone_number": "941-225-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSISTED AND SUPPORTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-225-2373"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.