Provider Demographics
NPI:1356386460
Name:COMMUNITY ACCESS UNLIMITED, INC.
Entity type:Organization
Organization Name:COMMUNITY ACCESS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-354-3040
Mailing Address - Street 1:80 W GRAND ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1447
Mailing Address - Country:US
Mailing Address - Phone:908-354-3040
Mailing Address - Fax:908-354-7669
Practice Address - Street 1:80 W GRAND ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1447
Practice Address - Country:US
Practice Address - Phone:908-354-3040
Practice Address - Fax:908-354-7669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8031509Medicaid