Community Enhance Living Solution LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMMUNITY ENHANCE LIVING SOLUTION LLC

Practice address

455 Shasta St
Manchester, NH 03103-5109

Phone

(603) 264-8236

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Owoseni E Omowaye

Title

Chief Executive Officer

Phone

(603) 264-5602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1114743481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHASTA ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035109",
            "telephone_number": "603-264-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHASTA ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035109",
            "telephone_number": "603-264-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ENHANCE LIVING SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "OMOWAYE",
        "authorized_official_first_name": "OWOSENI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-264-5602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon B. Collins
• Tara Collins
• Valerie Elizabeth Colt
• Fred Coltin
• Amanda Comai, APRN
• Community House Calls LLC
• Community Integrated Services, Inc
• Community Pathways Services LLC
• Compassionate Care Transport LLC
• Complete Care Counseling

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manchester, NH
• Providers in Manchester, NH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.