Community Care, Inc.

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · New Hampton, IA

NPI 1710019690 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1710019690
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
190405 (IA)
Legal business name
COMMUNITY CARE, INC.
Practice address
2275 S Linn Ave
New Hampton, IA 50659-9412
Phone
(641) 394-2391
Fax
(641) 394-2704
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Benjamin Wright
Title
Executive Director
Phone
(563) 659-4100

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Community Care Inc (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 190405 IA Yes

Addresses

Primary practice location

2275 S Linn Ave
New Hampton, IA 50659-9412

Mailing address

108 Industrial St
De Witt, IA 52742-2063
Phone (563) 659-4100

Other identifiers

IdentifierTypeStateIssuer
14-40503MedicaidIA

Other providers in New Hampton, IA

All providers in New Hampton, IA · Mental Illness Community Based Residential Treatment Facility in Iowa

Sources for this page

Verify at the official NPI Registry.