Community Care, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · De Witt, IA
NPI 1720140403 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720140403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 230519 (IA)
- Legal business name
- COMMUNITY CARE, INC.
- Practice address
- 915 10TH St
De Witt, IA 52742-1252 - Phone
- (563) 659-4100
- Fax
- (563) 659-1120
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Benjamin Wright
- Title
- Executive Director
- Phone
- (563) 659-4100
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Community Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 230519 | IA | Yes |
Addresses
Primary practice location
915 10TH St
De Witt, IA 52742-1252
Mailing address
108 Industrial St
De Witt, IA 52742-2063
Phone (563) 659-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0881995 | Medicaid | IA |
Other providers in De Witt, IA
- Community Care, Inc
- Community Care, Inc
- Community Care, Inc
- Community Care, Inc.
- Community Care, Inc.
- Cram Chiropractic, PLLC
- Jacob Andrew Cram
- Lauren Daufeldt
- Dewitt Dental Associates, PC
- Dewitt ER PC Services
All providers in De Witt, IA · Intellectual Disabilities Intermediate Care Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.