NPIMap

Organization Active NPI

Community Options, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cookeville, TN
National Provider Identifier
1053715649
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
L000000013051 Issued in TN
Legal business name
COMMUNITY OPTIONS, INC.
Practice address
201 N Oak Ave
Cookeville, TN 38501-2437
Phone
(931) 372-0955
Fax
(931) 372-0052
NPI assigned
Oct 10, 2014
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Mr. Robert P. Stack
Title
Ceo & President
Phone
(609) 951-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X L000000013051 TN Primary

Addresses

Primary practice location

201 N Oak Ave
Cookeville, TN 38501-2437

Mailing address

16 Farber Rd
Princeton, NJ 08540-5913
Phone (609) 951-9900

Other identifiers 1

IdentifierTypeStateIssuer
00785OtherTNDEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Community Options Inc218 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1053715649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FARBER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405913",
            "telephone_number": "609-951-9900",
            "fax_number": "690-951-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-372-0955",
            "fax_number": "931-372-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "609-951-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000013051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES PROVIDER NUMBER",
            "identifier": "00785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.