COMMUNITY CARE, INC. (NPI# 1063559706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063559706 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE, INC. |
| Practice Address |
1611 330th Ave Charlotte IA 52731-9682 |
| Mailing Address |
108 Industrial St De Witt IA 52742-2063 |
| Practice Telephone | 5636594100 |
| Practice Fax Number | 5636772312 |
| Mailing Telephone | 5636594100 |
| Mailing Fax Number | 5636591120 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BENJAMIN WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5636594100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 230519 | IA | Residential Treatment Facilities |
| X | 323P00000X | Psychiatric Residential Treatment Facility | 230519 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0894659 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073544805 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-9756 | 2006-07-06 |
| 1073161303 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-2700 | 2019-08-29 |
| 1386776268 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-03-09 |
| 1194857078 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 110 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1710019690 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2275 S Linn Ave, New Hampton, IA 50659-9412 | 2007-03-09 |
| 1629100508 | Community Care, Inc. | Community/Behavioral Health | 108 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1578690244 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| 1720140403 | Community Care, Inc. | Intermediate Care Facility, Mentally Retarded | 915 10th St, De Witt, IA 52742-1252 | 2006-12-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMUNITY CARE, INC | 650 S Cherry St #14000, Denver, CO 80246 |
| New York State Corporations | COMMUNITY CARE, INC. | 85 East End Ave, #10f, New York, Ny 10028 |
| Massachusetts Corporations | COMMUNITY CARE, INC. | Kenneth G. Littman, 251 Cherry St., Fall River, MA 02720 |
| Street Address |
1611 330TH AVE |
| City | CHARLOTTE |
| State | IA |
| Zip Code | 52731-9682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416102 | Community Care, Inc | Community/Behavioral Health | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-05-15 |
| 1386776268 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-03-09 |
| 1386771939 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| 1578690244 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124937 | Denawa Deniece Alberti | Doula | 9711 David Taylor Dr Apt 111, Charlotte, NC 28262-2367 | 2020-11-06 |
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| Find all providers in CHARLOTTE | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1154818284 | Nana Hinton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11000 Huntington Meadow Ln, Charlotte, NC 28273-3440 | 2018-04-14 |
| 1497289417 | T Bennett Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3325 Alderknoll Ct, Charlotte, NC 28216-8827 | 2017-04-17 |
| 1477909406 | Dreams and Vision, LLC- Cades Cove | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4429 Cades Cove Dr, Charlotte, NC 28273-4586 | 2016-05-09 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| 1568870558 | The Moore Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2438 Hemby Wood Drive, Charlotte, NC 28262 | 2014-07-23 |
| 1740612746 | Bumpas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4128 Houldsworth Dr, Charlotte, NC 28213-5714 | 2013-08-01 |
| 1578815940 | Autism Services of Mecklenburg County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5300 Kelly St, Charlotte, NC 28205-7912 | 2012-10-10 |
| Find all providers in CHARLOTTE | ||||
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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.