Concepts in Community Living, Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CONCEPTS IN COMMUNITY LIVING, INC.

Practice address

710 S Main St
Mount Vernon, OH 43050-9395

Phone

(740) 393-0055

Fax

(740) 393-1139

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Charles Robert Phillips

Title

Ceo

Phone

(740) 393-0055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1548863202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S MAIN ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509395",
            "telephone_number": "740-393-0055",
            "fax_number": "740-393-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S MAIN ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509395",
            "telephone_number": "740-393-0055",
            "fax_number": "740-393-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPTS IN COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-393-0055"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Physical Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.