Provider Demographics
NPI:1285008557
Name:CENTER FOR ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:CENTER FOR ASSISTANCE SERVICES
Other - Org Name:CENTER FOR ASSISTANCE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:D
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-810-9397
Mailing Address - Street 1:19046 BRUCE B DOWNS BLVD
Mailing Address - Street 2:SUITE 177
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2434
Mailing Address - Country:US
Mailing Address - Phone:813-857-1651
Mailing Address - Fax:
Practice Address - Street 1:19046 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUITE 177
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2434
Practice Address - Country:US
Practice Address - Phone:813-857-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health