Provider Demographics
NPI:1952164535
Name:ACCESS COMMUNITY LIVING SERVICES INC
Entity Type:Organization
Organization Name:ACCESS COMMUNITY LIVING SERVICES INC
Other - Org Name:ACCESS COMMUNITY LIVING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:346-309-4935
Mailing Address - Street 1:21703 KINGSLAND BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2521
Mailing Address - Country:US
Mailing Address - Phone:346-309-4935
Mailing Address - Fax:832-391-6137
Practice Address - Street 1:21703 KINGSLAND BLVD STE 103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2521
Practice Address - Country:US
Practice Address - Phone:346-309-4935
Practice Address - Fax:832-391-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility