Provider Demographics
NPI:1528400181
Name:COMMUNITY ADULT PROVIDER SERVICES
Entity Type:Organization
Organization Name:COMMUNITY ADULT PROVIDER SERVICES
Other - Org Name:CAPS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:908-206-0444
Mailing Address - Street 1:1140 COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5028
Mailing Address - Country:US
Mailing Address - Phone:908-206-0444
Mailing Address - Fax:908-206-1451
Practice Address - Street 1:1140 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5028
Practice Address - Country:US
Practice Address - Phone:908-206-0444
Practice Address - Fax:908-206-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation