Community Residence, Inc. in Ballwin - Adult Care Home
Community Residence, Inc. - NPI 1679570170
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 1679570170. The last update date is 2020-08-22.
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 | 1679570170 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2020-08-22 |
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 | 30558 |
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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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What is the unique 10-digit identification code issued to Community Residence, Inc. by the Centers for Medicare & Medicaid Services?
The Community Residence, Inc. has been assigned the NPI (National Provider Identifier) 1679570170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Community Residence, Inc.?
The Community Residence, Inc. is physically situated at 312 Solley Dr, in the city of Ballwin, state of MO, with the postal code 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 Centers for Medicare & Medicaid Services issue the 1679570170 to Community Residence, Inc.?
The Community Residence, Inc. received its 1679570170 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information regarding Community Residence, Inc. most recently updated?
The details pertaining to the Community Residence, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.