Community Residence, Inc. in Ballwin - Adult Care Home
Community Residence, Inc. - NPI 1669479150
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 1669479150. 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 | 1669479150 |
|---|---|
| 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 | 29793 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Community Residence, Inc. by the Centers for Medicare & Medicaid Services?
The Community Residence, Inc. has been issued the NPI (National Provider Identifier) 1669479150, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Community Residence, Inc. is physically located?
The Community Residence, Inc. is situated at the following address: 312 Solley Dr, Ballwin, MO 630215248.
What is Community Residence, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Residence, Inc. is Adult Care Home, and the taxonomy classification code that categorizes this area of expertise is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669479150 to Community Residence, Inc.?
The Community Residence, Inc. received its 1669479150 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information pertaining to Community Residence, Inc. most recently updated or revised?
The details related to Community Residence, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY