COMMUNITY ASSISTED LIVING INC (NPI# 1154973352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154973352 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ASSISTED LIVING INC |
| Practice Address |
806 Colorado Ave Holton KS 66436-1329 |
| Practice Telephone | 7853646128 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DAVID TINNEY (OWNER) |
| Authorized Official Telephone | 7853646128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200421710A | 05 |
| Street Address |
806 COLORADO AVE |
| City | HOLTON |
| State | KS |
| Zip Code | 66436-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699109298 | David Tinney | Day Training, Developmentally Disabled Services | 806 Colorado Ave, Holton, KS 66436-1329 | 2013-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528180734 | William E. Kinkade IIi | Physician Assistant | 1100 Columbine Drive, Holton, KS 66436 | 2007-04-06 |
| 1669573424 | Jerry E Young | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1710943634 | Ladona Marie Schmidt | Family Medicine | 1110 Columbine Drive, Holton, KS 66436 | 2006-04-21 |
| 1669917688 | Deanna Lynn Goff | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2016-12-29 |
| 1316384332 | Dallas W Dooley | Registered Nurse | 1100 Columbine Dr, Holton, KS 66436 | 2013-05-31 |
| 1114362050 | Erin R. Locke | Family Medicine | 1100 Columbine Drive, Tacoma Family Medicine, Holton, KS 66436 | 2013-05-06 |
| 1336487412 | Jill S Collins | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2013-01-23 |
| 1578664330 | Jerry E. Young, D.d.s., P.a. | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1164442687 | Holton Usd 336 Holton Special Education Cooperative | Local Education Agency (LEA) | 515 Pennsylvania Ave, Holton, KS 66436 | 2006-07-20 |
| 1619947744 | Jana D Kramer | Family Medicine | 1603 W 4th St, Holton, KS 66436 | 2006-01-23 |
| Find all providers in zip 66436 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200875 | Steel Hope Professional Services LLC | Technician | 710 N Smelter St Apt A, Pittsburg, KS 66762-4229 | 2020-03-19 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1225517329 | Mission Project - Person Care Assistants, LLC | Technician | 5960 Dearborn St # 225, Mission, KS 66202-3342 | 2018-08-09 |
| 1437669587 | Caren S Schnittker | Technician | 2001 Heizer St, Great Bend, KS 67530-2630 | 2017-10-03 |
| 1043619083 | Betty Stewart | Technician | 4435 Nw Lookout Ct, Topeka, KS 66618-3231 | 2014-08-15 |
| 1699196782 | Russell E Robson | Technician | 3405 W 7th St, Coffeyville, KS 67337-2315 | 2013-12-17 |
| 1902237670 | Devona Young | Technician | 1133 Sw Glendale Dr, Topeka, KS 66604-6121 | 2013-12-06 |
| 1730510702 | Teresa Katheleen Laforte-scott | Technician | 14870 310 Rd, Neodesha, KS 66757-1856 | 2013-12-02 |
| 1447686290 | Margene Dipaling | Technician | 5856 Sw 28th Ter, Topeka, KS 66614-2424 | 2013-09-24 |
| 1003186081 | Brandon Kenyon Sams | Technician | 1317 Wheat Rd, Winfield, KS 67156-4703 | 2012-01-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY ASSISTED LIVING INC.
| 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.