COMMUNITY LIVING INC. (NPI# 1669533220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669533220 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING INC. |
| Practice Address |
1511 82nd St Victoria MN 55386-9773 |
| Mailing Address |
1600 Arboretum Blvd Victoria MN 55386 |
| Practice Telephone | 9524432044 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MONICA SCHMIDT (ADMINISTRATOR) |
| Authorized Official Telephone | 9524432048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 800532 | MN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089646 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1521 82nd St, Victoria, MN 55386-9773 | 2006-12-14 |
| 1275695389 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1531 82nd St, Victoria, MN 55386-9773 | 2006-12-14 |
| 1609937341 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1501 82nd St, Victoria, MN 55386-9773 | 2006-12-13 |
| 1669533212 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 2493 109th Ave Nw, Coon Rapids, MN 55433-3942 | 2006-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY LIVING INC | 620b Research Dr, Frederick, MD 21703-8619 |
| Virginia Business Entities | Community Living Inc. | 314 E Atlantic St, South Hill, Virginia 23970 |
| Street Address |
1511 82ND ST |
| City | VICTORIA |
| State | MN |
| Zip Code | 55386-9773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
| 1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
| 1952505323 | Kerber Psychological Services LLC | Community/Behavioral Health | 562 Bavaria Lane, Chaska, MN 55386 | 2007-06-12 |
| 1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
| 1629566302 | Jeannie Marie Farrell | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386 | 2018-04-27 |
| 1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
| Find all providers in zip 55386 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089646 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1521 82nd St, Victoria, MN 55386-9773 | 2006-12-14 |
| 1275695389 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1531 82nd St, Victoria, MN 55386-9773 | 2006-12-14 |
| 1609937341 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 1501 82nd St, Victoria, MN 55386-9773 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
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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.