Center for Community Inclusion, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CENTER FOR COMMUNITY INCLUSION, INC.

Practice address

9711 Monroe St
Cockeysville, MD 21030-5038

Phone

(443) 500-1994

Fax

(410) 220-0655

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Leon M Indoursky

Title

Executive Director

Phone

(443) 500-1994

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1134637622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MONROE ST",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305038",
            "telephone_number": "443-500-1994",
            "fax_number": "410-220-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MONROE ST",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305038",
            "telephone_number": "443-500-1994",
            "fax_number": "410-220-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COMMUNITY INCLUSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "INDOURSKY",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-500-1994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina C. Chadwick, M.S., L.C.P.C.

• Developmentally Disabled Services Day Training Agency in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.