Community Living, Inc in Angola - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Community Living, Inc - NPI 1316980774
Community Living, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Angola, Indiana. Community Living, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Community Living, Inc is 1316980774. The last update date is 2020-08-22.
Community Living, Inc's current location address is Po Box 393, Angola, Indiana. You can contact this provider via phone number 2606657681 and fax number 2606651501. The mailing address for Community Living, Inc is Po Box 393, Angola, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Living, Inc |
|---|---|
| Address | Po Box 393, Angola, Indiana |
| Phone Number | 2606657681 |
| Fax Number | 2606651501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thiebaut Randy |
| Telephone Number | 2606657681 |
NPI Number Detail
| NPI Number | 1316980774 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 393 |
|---|---|
| City | Angola |
| State | Indiana (IN) |
| Post Code | 467030393 |
| Phone Number | 2606657681 |
| Fax Number | 2606651501 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Community Living, Inc?
The Community Living, Inc has been issued the NPI (National Provider Identifier) 1316980774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Community Living, Inc's facilities are geographically located?
The facilities of Community Living, Inc are physically situated at the following location: Po Box 393, Angola, IN, 467030393.
What is Community Living, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Community Living, Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316980774 to Community Living, Inc?
The Community Living, Inc received its 1316980774 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the details related to Community Living, Inc most recently updated or revised?
The information pertaining to Community Living, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.