Community Options for Residential and Employment Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC

Practice address

4909 Shelburne St
Bismarck, ND 58503-5605

Phone

(701) 223-2417

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Austyn Kloehn

Title

Compliance Officer

Phone

(701) 715-3178

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Options for Residential and Employment Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Community Options for Residential and Employment Services, Inc

  • Case Manager/Care Coordinator
  • Bismarck, ND
  • NPI 1356951503
  NPD tax ID
• Community Options for Residential and Employment Services, Inc

  • In Home Supportive Care Agency
  • Bismarck, ND
  • NPI 1780275263
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Cota

  • Case Manager/Care Coordinator
  • Williston, ND
  • NPI 1215527734
  NPD (past)
• Jamie Crawford

  • Peer Specialist
  • Dickinson, ND
  • NPI 1396585949
  NPD (past)
• Cory Gooch

  • Case Manager/Care Coordinator
  • Dickinson, ND
  • NPI 1487245460
  NPD (past)
• Bobbi Hanson

  • Driver
  • Williston, ND
  • NPI 1922649995
  NPD (past)
• Andrea Huschka

  • Case Manager/Care Coordinator
  • Dickinson, ND
  • NPI 1033901657
  NPD (past)
• Christopher Lambertson

  • Peer Specialist
  • Dickinson, ND
  • NPI 1578313961
  NPD (past)
• Abigail Veverka

  • Other Technician
  • Dickinson, ND
  • NPI 1265008965
  NPD (past)
• Alejandra Villegas

  • Case Manager/Care Coordinator
  • Dickinson, ND
  • NPI 1871343426
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1467045708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035605",
            "telephone_number": "701-223-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 20th St SW",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "ND",
            "postal_code": "584016227",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 3rd Ave SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014346",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 24th St E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016580",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Library Cir",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016317",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Washington Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588015242",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 9th Ave S Ste E",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038712",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4821 Shelburne St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035603",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 E Century Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030529",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KLOEHN",
        "authorized_official_first_name": "AUSTYN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "701-715-3178"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456237",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Colon
• Deborah Diane Colton, LICSW
• Miranda K Combs, LCAC
• Comfort at Home Care Services LLC
• Community Options for Residential and Employment Services, Inc
• Community Options for Residential and Employment Services, Inc
• Community Wellness Center
• Pascualito Concepcion, NP
• Paula J Condol, LPCC
• Marci Loree Conley, CMAIII

• All providers in Bismarck, ND
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.