Healthcare Provider Details

I. General information

NPI: 1982106522
Provider Name (Legal Business Name): COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 GRAND ST FL 2
NEW YORK NY
10002-4800
US

IV. Provider business mailing address

465 GRAND ST FL 2
NEW YORK NY
10002-4800
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-1970
  • Fax: 212-420-1906
Mailing address:
  • Phone: 212-420-1970
  • Fax: 212-420-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. LEAH ESTHER LAX
Title or Position: CEO
Credential:
Phone: 212-420-1970