NPIMap

Organization Active NPI

Community Care, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, IA
National Provider Identifier
1063559706
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
230519 Issued in IA
Legal business name
COMMUNITY CARE, INC.
Practice address
1611 330TH Ave
Charlotte, IA 52731-9682
Phone
(563) 659-4100
Fax
(563) 677-2312
NPI assigned
Jan 31, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Benjamin Wright
Title
Executive Director
Phone
(563) 659-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 230519 IA Primary
Psychiatric Residential Treatment Facility 323P00000X 230519 IA

Addresses

Primary practice location

1611 330TH Ave
Charlotte, IA 52731-9682

Mailing address

108 Industrial St
De Witt, IA 52742-2063
Phone (563) 659-4100

Other identifiers 1

IdentifierTypeStateIssuer
0894659MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Community Care Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063559706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 INDUSTRIAL ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527422063",
            "telephone_number": "563-659-4100",
            "fax_number": "563-659-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 330TH AVE",
            "city": "CHARLOTTE",
            "state": "IA",
            "postal_code": "527319682",
            "telephone_number": "563-659-4100",
            "fax_number": "563-677-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-659-4100"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "230519",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IA",
            "license": "230519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894659",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.