Community Options, Inc.

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

COMMUNITY OPTIONS, INC.

Practice address

444 Scott St
Green Lake, WI 54941-9423

Phone

(920) 294-6099

Fax

(920) 294-3060

NPI assigned

Jun 25, 2008

Last updated

Dec 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marian L Sommerfeldt

Title

Administrator

Phone

(920) 294-6099

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1578725149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "address_2": "444 SCOTT ST.",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549410189",
            "telephone_number": "920-294-6099",
            "fax_number": "920-294-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SCOTT ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419423",
            "telephone_number": "920-294-6099",
            "fax_number": "920-294-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "SOMMERFELDT",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-294-6099",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Family Chiropractic Center LLC
• Jessica A. Bowman, LCSW
• Kevin Daniel Castleberry, DDS
• Chiroplus Complimentary Health Care Center LLC
• Community Medical Center of Green Lake, LLC (CHN Medical Center Green Lake)
• County of Green Lake (Green Lake County DHHS)
• County of Green Lake (Green Lake County DHHS)
• Shirley J. Dawson, M.D.
• Holley Dornfeld, SAC-IT
• Melanie Amanda Ellis, PMHNP-BC

• Private Vehicle in Green Lake, WI
• Providers in Green Lake, WI by specialty
• Private Vehicle in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.