Community Options for Residential and Employment Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC

Practice address

4909 Shelburne St
Bismarck, ND 58503-5605

Phone

(701) 223-2417

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By 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

Austyn Kloehn

Title

Compliance Officer

Phone

(701) 715-3178

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Options for Residential and Employment Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Community Options for Residential and Employment Services, Inc

  • Case Manager/Care Coordinator
  • Bismarck, ND
  • NPI 1356951503
  NPD tax ID
• Community Options for Residential and Employment Services, Inc

  • Community/Behavioral Health Agency
  • Bismarck, ND
  • NPI 1467045708
  NPD tax ID

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1780275263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035605",
            "telephone_number": "701-223-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Library Cir",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016317",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Washington Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588015242",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 3rd Ave SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014346",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 20th St SW",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "ND",
            "postal_code": "584016227",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 9th Ave S Ste E",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038712",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 24th St E Ste E",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016579",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 E Century Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030529",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4821 Shelburne St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035603",
            "country_code": "US",
            "telephone_number": "701-223-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "KLOEHN",
        "authorized_official_first_name": "AUSTYN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "701-715-3178"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456666",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Diane Colton, LICSW
• Miranda K Combs, LCAC
• Comfort at Home Care Services LLC
• Community Options for Residential and Employment Services, Inc
• Community Options for Residential and Employment Services, Inc
• Community Wellness Center
• Pascualito Concepcion, NP
• Paula J Condol, LPCC
• Hendrik C Condon
• Marci Loree Conley, CMAIII

• In Home Supportive Care Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.