NPIMap

Organization Active NPI

Community Residence, Inc.

Doing business as Hudson House

  • Adult Care Home Facility
  • Aurora, MO
National Provider Identifier
1285631770
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
029972 Issued in MO
Legal business name
COMMUNITY RESIDENCE, INC.
Doing business as
Hudson House
Practice address
1700B S Hudson Ave
Aurora, MO 65605-2717
Phone
(417) 678-2169
Fax
(417) 678-3156
NPI assigned
Jun 30, 2005
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
James Giardina
Title
President
Phone
(636) 394-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 029972 MO Primary

Addresses

Primary practice location

1700B S Hudson Ave
Aurora, MO 65605-2717

Mailing address

312 Solley Dr
Rear
Ballwin, MO 63021-5248
Phone (636) 394-3000

Other names 1

  • Hudson House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Residence Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1285631770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SOLLEY DR",
            "address_2": "REAR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215248",
            "telephone_number": "636-394-3000",
            "fax_number": "636-394-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700B S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052717",
            "telephone_number": "417-678-2169",
            "fax_number": "417-678-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-3000"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": "029972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.