COMMUNITY LIVING CORPORATION (NPI# 1275678500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275678500 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING CORPORATION |
| Practice Address |
105 South Bedford Road Mount Kisco NY 10549 |
| Practice Telephone | 9142413628 |
| Practice Fax Number | 9142411109 |
| Mailing Telephone | 9142413628 |
| Mailing Fax Number | 9142411109 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN E PORCELLA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9142413628 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02247230 | 05 | |
| NY | 01387842 | 05 | |
| NY | 01997286 | 05 | |
| NY | 02247258 | 05 | |
| NY | 02557931 | 05 | |
| NY | 02557940 | 05 | |
| NY | 02171819 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | COMMUNITY LIVING CORPORATION | JOHN SIGNORELLI 600 BEDFORD ROAD, MT KISCO, NEW YORK |
| Massachusetts Corporation | COMMUNITY LIVING CORPORATION | 301 BROADWAY , CHELSEA, MA 02150 |
| Street Address |
105 SOUTH BEDFORD ROAD |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1366914772 | Michelle Thomas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2713 Colonial Dr, New Windsor, NY 12553-4925 | 2018-12-24 |
| 1730659327 | Nathalie Lawrence Ot P C | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 566 Macon Pl, Uniondale, NY 11553-2829 | 2018-11-27 |
| 1598249831 | Annie Hwang Pt P.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Teneyck Ave, Valley Stream, NY 11580-4016 | 2018-09-22 |
| 1801396841 | Tlc Kids Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3270 Mark Alan Dr, Wantagh, NY 11793-1841 | 2018-02-16 |
| 1760929715 | Sheltering Arms Children and Family Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2749 University Ave, Apt 3, Bronx, NY 10468-3302 | 2017-01-30 |
| 1417499385 | J. Gudis Speech and Language | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 E 31st St Apt 5d, New York, NY 10016-6828 | 2016-11-09 |
| 1356700488 | Cnyddso | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Schuyler St, Rome, NY 13440-2825 | 2016-02-17 |
| 1134592470 | Beacon Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 54 Henry Ave, Babylon, NY 11702-1327 | 2015-11-09 |
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
Please comment or provide details below to improve the information on COMMUNITY LIVING CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.