Community Living Alliance

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMUNITY LIVING ALLIANCE

Practice address

1414 Macarthur Rd
Madison, WI 53714-1318

Phone

(608) 242-8335

Fax

(608) 240-7060

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By 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

Mr. Todd Costello, MSN, MBA

Title

Executive Director

Phone

(608) 242-8335

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Living Alliance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Living Alliance, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1669689337
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Keating, NP

  • Nurse Practitioner
  • Madison, WI
  • NPI 1740482660
  NPD (past)
• Jennifer L Mastick, LPC, ATR

  • Counselor
  • Madison, WI
  • NPI 1790333243
  NPD (past)
• Kaylin Ann Shampo, LCSW

  • Mental Health Counselor
  • Madison, WI
  • NPI 1326406414
  NPD (past)
• Keith Burr Sperling, M.D.

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1790995090
  NPD (past)
• Madonna Trumm

  • Nurse Practitioner
  • Madison, WI
  • NPI 1225230386
  NPD (past)
• Elaine Hernandez

  • Nurse Practitioner
  • Fort Sam Houston, TX
  • NPI 1841492600
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1922559756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8028",
            "address_2": "1414 MACARTHUR RD.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537088028",
            "telephone_number": "608-242-8335",
            "fax_number": "608-240-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-242-8335",
            "fax_number": "608-240-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-242-8335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012562",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Home Health LLC
• Comfort Living
• Comfy Care LLC
• Common Threads Family Resource Center
• Communication Development Center, Inc.
• Community Living Alliance, Inc.
• Community Pharmacy Co-Operative
• Community Support Network, Inc (Collaborations)
• Community Work Services, Inc.
• Compassionate Care Home LLC

• In Home Supportive Care Agency in Madison, WI
• Providers in Madison, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.