Community Residence, Inc. in Ballwin - Adult Care Home
Community Residence, Inc. - NPI 1376540872
Community Residence, Inc. is a Adult Care Home in Ballwin, Missouri. Community Residence, Inc. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Community Residence, Inc. is 1376540872. The last update date is 2007-10-30.
Community Residence, Inc.'s current location address is 312 Solley Dr, Ballwin, Missouri. You can contact this provider via phone number 6363943000 and fax number 6363947713. The mailing address for Community Residence, Inc. is 312 Solley Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residence, Inc. |
|---|---|
| Address | 312 Solley Dr, Ballwin, Missouri |
| Phone Number | 6363943000 |
| Fax Number | 6363947713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Giardina James |
| Telephone Number | 6363943000 |
NPI Number Detail
| NPI Number | 1376540872 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 312 Solley Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630215248 |
| Phone Number | 6363943000 |
| Fax Number | 6363947713 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 29629 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Post Comment/ Review Below
What is the Community Residence, Inc.'s 1376540872?
The Community Residence, Inc.'s NPI (National Provider Identifier) Number is 1376540872. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Community Residence, Inc. is physically located?
The Community Residence, Inc. is physically situated at the following address: 312 Solley Dr, Ballwin, MO, 630215248.
What is Community Residence, Inc.'s area of expertise and its corresponding taxonomy classification?
The Community Residence, Inc.'s field of specialization is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their areas of practice.
On what date did the Community Residence, Inc. receive the assignment of its 1376540872 from the Centers for Medicare & Medicaid Services?
The Community Residence, Inc. was issued its 1376540872 by the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information regarding Community Residence, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Community Residence, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-30.