NPIMap

Organization Active NPI

Community Living Options

  • Foster Care Agency
  • Kalamazoo, MI
National Provider Identifier
1003321142
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AS390317402 Issued in MI
Legal business name
COMMUNITY LIVING OPTIONS
Practice address
805 Farrell Ave
Kalamazoo, MI 49006-5558
Phone
(269) 343-6355
Fax
(269) 343-0054
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lorinda June Anderson
Title
Director Qa
Phone
(269) 343-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X AS390317402 MI Primary

Addresses

Primary practice location

805 Farrell Ave
Kalamazoo, MI 49006-5558

Mailing address

626 Reed Ave
Kalamazoo, MI 49001-2971
Phone (269) 343-6355

Other identifiers 1

IdentifierTypeStateIssuer
AS390317402OtherMILICENSE NUMBER

Other names 1

  • Farrell Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Network South15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1003321142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 REED AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012971",
            "telephone_number": "269-343-6355",
            "fax_number": "269-343-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARRELL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065558",
            "telephone_number": "269-343-6355",
            "fax_number": "269-343-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LORINDA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR QA",
        "authorized_official_telephone_number": "269-343-6355"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AS390317402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390317402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farrell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.