COMMUNITY LIVING, INC. (NPI# 1659699395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659699395 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING, INC. |
| Practice Address |
1040 Saint Peters Howell Rd Saint Peters MO 63376-5259 |
| Practice Telephone | 6369702800 |
| Practice Fax Number | 6369702810 |
| Mailing Telephone | 6369702800 |
| Mailing Fax Number | 6369702810 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | PATRICIA A HANLEY (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6369702800 |
| 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 | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 8002252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609198118 | Community Living, Inc. | Assisted Living Facility | 4200 Ne 19th Ave, Pompano Beach, FL 33064 | 2010-02-24 |
| 1841355922 | Community Living, Inc. | Case Management | 333 Guthrie St, Suite 308, Louisville, KY 40202-1829 | 2006-12-27 |
| 1013206986 | Community Living, Inc. | Respite Care | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2011-03-31 |
| 1760771638 | Community Living, Inc. | Respite Care | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2011-03-31 |
| 1376710517 | Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2008-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY LIVING, INC. | 11 Upton St, Boston, MA 02118 |
| Street Address |
1040 SAINT PETERS HOWELL RD |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252200 | Community Living for The Handicapped Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-02-15 |
| 1013206986 | Community Living, Inc. | Respite Care | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2011-03-31 |
| 1760771638 | Community Living, Inc. | Respite Care | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2011-03-31 |
| 1376710517 | Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2008-05-15 |
| 1972782928 | Community Living for The Handicapped, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-10-26 |
| 1891814232 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-28 |
| 1851410427 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-28 |
| 1457479479 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-27 |
| 1710005723 | Community Living for The Handicapped,inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-27 |
| 1821116559 | Community Living for The Handicapped,inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1104318849 | Tekisha Darsha Harris | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2290 Highland Hill Dr, Saint Peters, MO 63376-2679 | 2018-05-30 |
| 1093082117 | Bci Boone Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Trade Center Dr W, Saint Peters, MO 63376-1190 | 2011-11-17 |
| 1518121128 | Blue Hayven Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Julie Ln, Saint Peters, MO 63376-2147 | 2008-07-12 |
| 1033252200 | Community Living for The Handicapped Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-02-15 |
| 1821408501 | Applied Behavior Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1601 Mcquade Dr, Saint Peters, MO 63376-7804 | 2014-05-02 |
| 1972782928 | Community Living for The Handicapped, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-10-26 |
| 1891814232 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-28 |
| 1851410427 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-28 |
| 1457479479 | Community Living for The Handicapped, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-27 |
| 1710005723 | Community Living for The Handicapped,inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 Saint Peters Howell Rd, Saint Peters, MO 63376-5259 | 2007-03-27 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.