Provider Demographics
NPI:1811751241
Name:COMMUNITY EFFORTS LLC
Entity type:Organization
Organization Name:COMMUNITY EFFORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ELLOWAY
Authorized Official - Last Name:BOURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-337-5194
Mailing Address - Street 1:2370 QUINLAND LAKE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-7518
Mailing Address - Country:US
Mailing Address - Phone:931-337-5194
Mailing Address - Fax:
Practice Address - Street 1:2370 QUINLAND LAKE RD STE 110
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-7518
Practice Address - Country:US
Practice Address - Phone:931-337-5194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care