Provider Demographics
NPI:1982106522
Name:COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:LAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-420-1970
Mailing Address - Street 1:465 GRAND ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4800
Mailing Address - Country:US
Mailing Address - Phone:212-420-1970
Mailing Address - Fax:212-420-1906
Practice Address - Street 1:465 GRAND ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4800
Practice Address - Country:US
Practice Address - Phone:212-420-1970
Practice Address - Fax:212-420-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02939577Medicaid