NPIMap

Organization Active NPI

Community Living Options

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1366957516
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802046743 Issued in MI
Legal business name
COMMUNITY LIVING OPTIONS
Practice address
626 Reed Ave
Kalamazoo, MI 49001-2971
Phone
(269) 343-6653
Fax
(269) 343-0054
NPI assigned
Dec 11, 2017
Organization subpart
Yes
Parent organization
COMMUNITY LIVING OPTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Lorinda June Anderson
Title
Director Qa
Phone
(269) 343-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6802046743 MI Primary

Addresses

Primary practice location

626 Reed Ave
Kalamazoo, MI 49001-2971

Mailing address

626 Reed Ave
Kalamazoo, MI 49001-2971
Phone (269) 343-6355

Other identifiers 10

IdentifierTypeStateIssuer
AS390073055OtherMILICENSE NUMBER
AS390317402OtherMILICENSE NUMBER
AS390092832OtherMILICENSE NUMBER
AS390291227OtherMILICENSE NUMBER
AS390250889OtherMILICENSE NUMBER
AS390011418OtherMILICENSE NUMBER
AS390011445OtherMILICENSE NUMBER
AS390011454OtherMILICENSE NUMBER
AS390366234OtherMILICENSE NUMBER
AS390015350OtherMILICENSE NUMBER

Other names 1

  • AS390092832 Cliffwood Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Network South15 organizations share this tax ID, including this one
Part of
Hope Network South

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1366957516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 REED AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012971",
            "telephone_number": "269-343-6355",
            "fax_number": "269-343-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 REED AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012971",
            "telephone_number": "269-343-6653",
            "fax_number": "269-343-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING OPTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY LIVING OPTIONS",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LORINDA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR QA",
        "authorized_official_telephone_number": "269-343-6355"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802046743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390073055",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390317402",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390092832",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390291227",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390250889",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390011418",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390011445",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390011454",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390366234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AS390015350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AS390092832 Cliffwood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.