COMMUNITY LIVING OPTIONS


Address: 805 Farrell Ave, Kalamazoo, MI 49006-5558
Phone: 2693436355

COMMUNITY LIVING OPTIONS (NPI# 1003321142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003321142
Entity Type Organization
Organization Name COMMUNITY LIVING OPTIONS
Other Organization Name FARRELL
Practice Address 805 Farrell Ave
Kalamazoo
MI 49006-5558
Mailing Address 626 Reed Ave
Kalamazoo
MI 49001-2971
Practice Telephone 2693436355
Practice Fax Number 2693430054
Mailing Telephone 2693436355
Mailing Fax Number 2693430054
Enumeration Date 2017-12-12
Last Update Date 2017-12-12
Authorized Official Name LORINDA JUNE ANDERSON (DIRECTOR QA)
Authorized Official Telephone 2693436355
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253J00000X Foster Care Agency AS390317402 MI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE NUMBER AS390317402 01

Other Provider/Organization Names

Other Name Type Code
Farrell Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669937603 Community Living Options Community Based Residential Treatment Facility, Mental Illness 1206 Bronson Cir, Kalamazoo, MI 49008-2325 2019-02-04
1386782696 Community Living Options Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 203 W Thornton St, Richmond, MO 64085-2828 2007-02-01
1548775463 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1164937082 Community Living Options Social Worker 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1285149104 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1093220915 Community Living Options Case Management 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1902311822 Community Living Options Day Training, Developmentally Disabled Services 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1720593643 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1639684558 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1710492632 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COMMUNITY LIVING OPTIONS INC 285 S Farnham St, Galesburg, IL 61401-5323

Office Location

Street Address 805 FARRELL AVE
City KALAMAZOO
State MI
Zip Code 49006-5558

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013455989 Lauren Gentry Counselor 213 S. Kendall Apt 201, Kalamazoo, MI 49006 2017-02-10
1588055768 Rashida Al-gharib Counselor 10107 Boswell Lane, Kalamazoo, MI 49006 2015-02-10
1174913420 Teesha Lynn Bancroft Specialist 329 S Sage St, Kalamazoo, MI 49006 2015-01-26
1801293493 Ayaz Jaffer Pharmacist 5100 Century Avenue, Kalamazoo, MI 49006 2014-11-25
1609207695 Karen Irene Zantjer Occupational Therapist 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 2013-12-02
1629313614 Jessica Korneder Behavioral Analyst 3621 Kenbrooke Court, Kalamazoo, MI 49006 2012-12-03
1508101635 Gerald Lamont Brooks Counselor 4017 W. Main Suite 100, Kalamazoo, MI 49006 2012-11-29
1932356979 Joy Ann Mcgrath Occupational Therapist 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 2008-08-21
1306901103 Frederick G Greaves Psychologist 4031 W Main, Kalamazoo, MI 49006 2006-12-22
1629162300 John F Hemmer Social Worker 1530 Nichols Road, Kalamazoo, MI 49006 2006-10-03
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Taxonomy Information

Taxonomy Code 253J00000X
Grouping Agencies
Classification Foster Care Agency

Taxonomy Definition

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609474576 Maryann Michelle Lavender Foster Care Agency 5633 Embassy St, Kalamazoo, MI 49009-6499 2020-10-13
1265952618 Nyumbani Afc Foster Care Agency 5455 Lucerne Ave, Kalamazoo, MI 49048-9270 2017-06-26
1336401645 Eden Haven LLC Foster Care Agency 317 N Sage St, Kalamazoo, MI 49006-4040 2012-06-12
1548775463 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1285149104 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1720593643 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1639684558 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1710492632 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14
1629583547 Community Living Options Foster Care Agency 626 Reed Ave, Kalamazoo, MI 49001-2971 2017-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417560269 Fountain of Love Foster Care Agency 2140 Dickerson St, Detroit, MI 48215-2640 2020-08-30
1376165076 Haven Adult Foster Care Ltd Foster Care Agency 73600 Church St, Armada, MI 48005-4749 2020-05-15
1104448018 Jody Elizabeth Josephson Foster Care Agency 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 2020-05-13
1639701600 Colonial Park Adult Assisted Living Foster Care Agency 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 2020-02-07
1972135200 Absolute Care LLC Foster Care Agency 5847 Naneva Ct, West Bloomfield, MI 48322-2517 2020-02-05
1699315556 Reliance Manor LLC Foster Care Agency 35156 Ecorse Rd, Romulus, MI 48174-1640 2020-01-08
1215573217 Byerly Enterprises, LLC Foster Care Agency 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 2019-11-25
1235789553 Dorthie Bolden Foster Care Agency 7027 Baseline Rd, South Haven, MI 49090-8338 2019-09-18
1457909509 Sallie Mae Emert Foster Care Agency 2850 W Leinaar Rd, Delton, MI 49046-9567 2019-09-02
1366096638 Balmoral Living LLC. Foster Care Agency 32741 Balmoral Knls, Farmington Hills, MI 48334-1608 2019-07-25
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Competitor

Search similar providers

City KALAMAZOO
Zip Code 49006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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