Continuum Residential Services, LLC

Primary specialty

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

Legal business name

CONTINUUM RESIDENTIAL SERVICES, LLC

Doing business as

Continuum Residential Services

Practice address

34295 Daybreak Dr
Callahan, FL 32011-3277

Phone

(864) 871-0406

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By 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

Maryjo Nabors

Title

Executive Director

Phone

(864) 871-0406

Specialties & licenses 5

Addresses

Other names 1

• Continuum Residential Services Doing business as

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1770124067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34295 DAYBREAK DR",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113277",
            "telephone_number": "864-871-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34295 DAYBREAK DR",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113277",
            "telephone_number": "864-871-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-871-0406"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continuum Residential Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillips Cao
• Shannon Marie Cislo, PA-C
• John Leon Clark, DPM
• Madison Clayton
• Lauren Cobb
• Elizabeth Crawford
• Sheena Crews
• Garrett D Cudmore, DO
• Mark Everett Dawley, DMD
• Charles Michael Day, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Callahan, FL
• Providers in Callahan, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.