Provider Demographics
NPI:1013984079
Name:COMMUNITY LINKS INC
Entity Type:Organization
Organization Name:COMMUNITY LINKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:MELERO
Authorized Official - Last Name:SPOTTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:352-347-2700
Mailing Address - Street 1:10117 SE US HIGHWAY 441
Mailing Address - Street 2:P. O. BOX 3031
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-2809
Mailing Address - Country:US
Mailing Address - Phone:352-347-2700
Mailing Address - Fax:
Practice Address - Street 1:10117 SE US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-2809
Practice Address - Country:US
Practice Address - Phone:352-347-2700
Practice Address - Fax:352-347-2726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 64991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
683583098OtherFAMILY AND COMMUNITY BASED WAIVER
FL683583096OtherCHBS MEDICAID WAIVER
FLK5980Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER