Provider Demographics
NPI:1114591906
Name:COMMUNITY ACTION NETWORK LIMITED
Entity Type:Organization
Organization Name:COMMUNITY ACTION NETWORK LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HYRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-299-3041
Mailing Address - Street 1:5 WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-4769
Mailing Address - Country:US
Mailing Address - Phone:708-299-3041
Mailing Address - Fax:
Practice Address - Street 1:5 WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-4769
Practice Address - Country:US
Practice Address - Phone:708-299-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services