OrganizationActive
Community Access, Inc
NPI 1578631024 · Intellectual Disabilities Intermediate Care Facility · Tyler, TX
Provider details
- NPI number
- 1578631024
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Laura Redman, Ceo
Practice location
2040 Shiloh Rd
Tyler, TX 75703-2612
Phone: (903) 595-5644
Fax: (903) 526-0881
Mailing address
2040 Shiloh Rd
Tyler, TX 75703-2612
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2011-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.