Provider Demographics
NPI:1104367069
Name:COMMUNITY ACCESS SERVICES GROUP CORP
Entity Type:Organization
Organization Name:COMMUNITY ACCESS SERVICES GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-226-2103
Mailing Address - Street 1:395 NW 14TH AVE
Mailing Address - Street 2:#BAY 3
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-5602
Mailing Address - Country:US
Mailing Address - Phone:783-410-8986
Mailing Address - Fax:
Practice Address - Street 1:395 NW 14TH AVE
Practice Address - Street 2:#BAY 3
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-5602
Practice Address - Country:US
Practice Address - Phone:783-410-8986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management