COMMUNITY CARE, INC. (NPI# 1386776268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386776268 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE, INC. |
| Practice Address |
1611 330th Ave Charlotte IA 52731-9682 |
| Mailing Address |
108 Industrial St De Witt IA 52742-2063 |
| Practice Telephone | 5636594100 |
| Practice Fax Number | 5636772312 |
| Mailing Telephone | 5636594100 |
| Mailing Fax Number | 5636591120 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENJAMIN WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5636594100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 230904 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 12-43311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559706 | Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-01-31 |
| 1073544805 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-9756 | 2006-07-06 |
| 1073161303 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-2700 | 2019-08-29 |
| 1194857078 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 110 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1710019690 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2275 S Linn Ave, New Hampton, IA 50659-9412 | 2007-03-09 |
| 1629100508 | Community Care, Inc. | Community/Behavioral Health | 108 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1578690244 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| 1720140403 | Community Care, Inc. | Intermediate Care Facility, Mentally Retarded | 915 10th St, De Witt, IA 52742-1252 | 2006-12-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY CARE, INC. | 85 East End Ave, #10f, New York, Ny 10028 |
| Massachusetts Corporations | COMMUNITY CARE, INC. | Kenneth G. Littman, 251 Cherry St., Fall River, MA 02720 |
| Street Address |
1611 330TH AVE |
| City | CHARLOTTE |
| State | IA |
| Zip Code | 52731-9682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559706 | Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-01-31 |
| 1942416102 | Community Care, Inc | Community/Behavioral Health | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-05-15 |
| 1386771939 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| 1578690244 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124937 | Denawa Deniece Alberti | Doula | 9711 David Taylor Dr Apt 111, Charlotte, NC 28262-2367 | 2020-11-06 |
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| Find all providers in CHARLOTTE | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1306353248 | Families United | Community Based Residential Treatment Facility, Mental Illness | 6610 Harburn Forest Dr, Charlotte, NC 28269-6912 | 2017-12-31 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1104270636 | Dennis Griffin's Consulting | Community Based Residential Treatment Facility, Mental Illness | 4428 Staffordshire Ln, Charlotte, NC 28213-4238 | 2016-04-21 |
| 1336579077 | Growth and Wellness Center, LLC. | Community Based Residential Treatment Facility, Mental Illness | 12001 Olympic Club Dr, Charlotte, NC 28277-4057 | 2013-11-15 |
| 1912267477 | Between Faces Foundation, Inc | Community Based Residential Treatment Facility, Mental Illness | 13000 S Tryon St Ste F-179, Charlotte, NC 28278-7652 | 2012-05-17 |
| 1194084194 | Promising Youth & Adults Behavioral Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 2750 E Wt Harris Blvd Ste 105, Charlotte, NC 28213-4286 | 2012-05-10 |
| 1265747349 | Primary Care Solutions Inc | Community Based Residential Treatment Facility, Mental Illness | 6807 Idlewild Brook Ln, Charlotte, NC 28212-5858 | 2010-08-12 |
| 1902110828 | Primary Care Solutions Inc. | Community Based Residential Treatment Facility, Mental Illness | 2744 Fairstone Ave, Charlotte, NC 28269-5412 | 2010-08-03 |
| Find all providers in CHARLOTTE | ||||
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| 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.