COMMUNITY LIVING OPTIONS (NPI# 1548775463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548775463 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING OPTIONS |
| Practice Address |
626 Reed Ave Kalamazoo MI 49001-2971 |
| Practice Telephone | 2693436653 |
| Practice Fax Number | 2693430054 |
| Mailing Telephone | 2693436653 |
| Mailing Fax Number | 2693430054 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | LORINDA JUNE ANDERSON (DIRECTOR QA) |
| Authorized Official Telephone | 2693436355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | AS390011454 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PORTAGE LICENSE NUMBER | AS390011454 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937603 | Community Living Options | Community Based Residential Treatment Facility, Mental Illness | 1206 Bronson Cir, Kalamazoo, MI 49008-2325 | 2019-02-04 |
| 1003321142 | Community Living Options | Foster Care Agency | 805 Farrell Ave, Kalamazoo, MI 49006-5558 | 2017-12-12 |
| 1386782696 | Community Living Options | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 W Thornton St, Richmond, MO 64085-2828 | 2007-02-01 |
| 1164937082 | Community Living Options | Social Worker | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1285149104 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1093220915 | Community Living Options | Case Management | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1902311822 | Community Living Options | Day Training, Developmentally Disabled Services | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1720593643 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1639684558 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1710492632 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY LIVING OPTIONS INC | 285 S Farnham St, Galesburg, IL 61401-5323 |
| Street Address |
626 REED AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083203 | Hope Network South | Clinic/Center | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2005-12-09 |
| 1164937082 | Community Living Options | Social Worker | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1285149104 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1093220915 | Community Living Options | Case Management | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1902311822 | Community Living Options | Day Training, Developmentally Disabled Services | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1720593643 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1639684558 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1710492632 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1629583547 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1801301957 | Community Living Options | Social Worker | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1003321142 | Community Living Options | Foster Care Agency | 805 Farrell Ave, Kalamazoo, MI 49006-5558 | 2017-12-12 |
| 1265952618 | Nyumbani Afc | Foster Care Agency | 5455 Lucerne Ave, Kalamazoo, MI 49048-9270 | 2017-06-26 |
| 1336401645 | Eden Haven LLC | Foster Care Agency | 317 N Sage St, Kalamazoo, MI 49006-4040 | 2012-06-12 |
| 1285149104 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1720593643 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1639684558 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1710492632 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| 1629583547 | Community Living Options | Foster Care Agency | 626 Reed Ave, Kalamazoo, MI 49001-2971 | 2017-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| 1366096638 | Balmoral Living LLC. | Foster Care Agency | 32741 Balmoral Knls, Farmington Hills, MI 48334-1608 | 2019-07-25 |
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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.