MEDICARE: ENCOMPASS COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1760608707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCOMPASS COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	380 ENCINAL ST
Second Line	:	SUITE 200
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-2178
Country	:	US
Telephone Number	:	831-469-1700
Fax Number	:	831-425-1905

Provider Business Practice Location Address
First Line	:	585 AUTO CENTER DR STE B
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-3764
Country	:	US
Telephone Number	:	831-728-2233
Fax Number	:	831-722-8311

Authorized Official
Title or Position	:	CEO
Name	:	MONICA MARTINEZ
Credential	:
Telephone Number	:	831-469-1700

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/30/2022

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Directions to “ENCOMPASS COMMUNITY SERVICES ” Practice Location

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