COMMUNITY COMMONS (NPI# 1033247085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033247085 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COMMONS |
| Practice Address |
1340 Mahoning Ave Nw Warren OH 44483-2084 |
| Practice Telephone | 3303943037 |
| Practice Fax Number | 3303950017 |
| Mailing Telephone | 3303943037 |
| Mailing Fax Number | 3303950017 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CHRISTY G BOONE (DIRECTOR) |
| Authorized Official Telephone | 3303943037 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 6361 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 2677410 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | COMMUNITY COMMONS OWNERS ASSOCIATION, INC. | 4700 E. Jackson St., Muncie, IN 47303 |
| Street Address |
1340 MAHONING AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44483-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659725364 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 400 S Mckinley St, Warren, MN 56762-1439 | 2016-04-19 |
| 1992058663 | Omni Manor, Inc. | Assisted Living Facility | 1 Windsor Place, Warren, OH 44483 | 2012-10-18 |
| 1508029679 | Terreforme Enterprises Inc | Assisted Living Facility | 596 Champion Ave W, Warren, OH 44483-1312 | 2008-07-08 |
| 1003015017 | Cooperative Housing Corporation | Assisted Living Facility | 2 Lindbergh Ave, Warren, NJ 07059-5227 | 2007-07-11 |
| 1780702324 | Ca Warren LLC | Assisted Living Facility | 274 King George Rd, Warren, NJ 07059-5157 | 2007-03-26 |
| 1215573431 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Assisted Living Facility | 4100 N River Rd Ne, Warren, OH 44484-1041 | 2019-11-22 |
| 1831648450 | Omni Manor, Inc. | Assisted Living Facility | 2 Windsor Pl, Warren, OH 44483-1456 | 2016-09-23 |
| 1669899746 | Ksms Clearview Lantern, LLC | Assisted Living Facility | 596 Champion Ave W, Warren, OH 44483-1312 | 2014-03-26 |
| 1215217690 | Warren Senior Care, LLC | Assisted Living Facility | 274 King George Rd, Warren, NJ 07059-5157 | 2011-08-17 |
| 1417260092 | Patient Support Services | Assisted Living Facility | 28120 Dequindre Rd, Warren, MI 48092-5603 | 2010-07-23 |
| Find all providers in WARREN | ||||
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| 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.