NPIMap

Organization Active NPI

Community Living, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Peters, MO
National Provider Identifier
1659699395
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMMUNITY LIVING, INC.
Practice address
1040 Saint Peters Howell Rd
Saint Peters, MO 63376-5259
Phone
(636) 970-2800
Fax
(636) 970-2810
NPI assigned
May 5, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Patricia A Hanley
Title
Director of Finance
Phone
(636) 970-2800

National Provider Directory

National Provider Directory
Tax ID family
Community Living for the Handicapped Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1040 Saint Peters Howell Rd
Saint Peters, MO 63376-5259

Mailing address

1040 Saint Peters Howell Rd
Saint Peters, MO 63376-5259
Phone (636) 970-2800

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8002252MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2010.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1659699395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SAINT PETERS HOWELL RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765259",
            "telephone_number": "636-970-2800",
            "fax_number": "636-970-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SAINT PETERS HOWELL RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765259",
            "telephone_number": "636-970-2800",
            "fax_number": "636-970-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "636-970-2800"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002252",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.