Community Living Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

500-01-001 Issued in VA

Legal business name

COMMUNITY LIVING SERVICES

Practice address

1304 Ivy St
Waynesboro, VA 22980-2625

Phone

(540) 943-7911

Fax

(540) 943-7918

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Fredrick Shaffren

Title

Co-Owner/Executive Director

Phone

(540) 943-7911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568545655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 IVY ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229802625",
            "telephone_number": "540-943-7911",
            "fax_number": "540-943-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 IVY ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229802625",
            "telephone_number": "540-943-7911",
            "fax_number": "540-943-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "CO-OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-943-7911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "500-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Suzanne Clark, D.C.
• Erica Clinton, LPTA
• Robert Jonas Collins, D.M.D.
• Commonwealth of Virginia State Board of Health (Waynesboro Augusta Health Department)
• Community Alternatives Virginia, Inc.
• Contractors USA Inc.
• Clifton Carroll Copper Jr., RPH
• Tiffany Marie Corbett
• Core Therapeutics LLC
• Jason Cosby

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.