Provider Demographics
NPI:1376071605
Name:COMMUNITY PLUS CARE SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY PLUS CARE SERVICES INC
Other - Org Name:D.E.A.R
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER/ CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:DEERICA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-545-1089
Mailing Address - Street 1:1935 33RD STREET
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-3047
Mailing Address - Country:US
Mailing Address - Phone:941-545-1089
Mailing Address - Fax:
Practice Address - Street 1:1910 14TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-7137
Practice Address - Country:US
Practice Address - Phone:941-807-7850
Practice Address - Fax:941-807-7850
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PURPOSED GENERATION CHURCH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-31
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 376J00000X
FL372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB650064878630OtherDRIVER LICENSE