Active NPI
Community Inclusion LLC
- Mental Illness Community Based Residential Treatment Facility
- Ashland, KY
National Provider Identifier
1871448043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- COMMUNITY INCLUSION LLC
- Practice address
- 4360 13TH St
Ashland, KY 41102-5432 - Phone
- (606) 694-1797
- NPI assigned
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni Renee Mullins, MSN, RN
- Title
- Owner/Ceo
- Phone
- (606) 694-1797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
4360 13TH St
Ashland, KY 41102-5432
Mailing address
320 Bluebird Dr
Russell, KY 41169-1568
Phone (606) 694-1797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101104360 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Community Inclusion LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- Russell, KY
- NPI 1285514430
-
- Substance Abuse Rehabilitation Facility
- Ashland, KY
- NPI 1508795055
-
- Developmentally Disabled Services Day Training Agency
- Russell, KY
- NPI 1528817145
-
- Developmental Disabilities Clinic/Center
- Russell, KY
- NPI 1790635696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1871448043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BLUEBIRD DR",
"city": "RUSSELL",
"state": "KY",
"postal_code": "411691568",
"telephone_number": "606-694-1797",
"fax_number": "606-694-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 13TH ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411025432",
"telephone_number": "606-694-1797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY INCLUSION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "MULLINS",
"authorized_official_first_name": "TONI",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "606-694-1797",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101104360",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.