COMMUNITY LIVING CONCEPTS, INC (NPI# 1316002439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316002439 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING CONCEPTS, INC |
| Practice Address |
110 East Walnut St Keene TX 76059 |
| Practice Telephone | 8175589559 |
| Practice Fax Number | 8179281676 |
| Mailing Telephone | 8175589559 |
| Mailing Fax Number | 8179281676 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | KYLE HANNAH (CEO) |
| Authorized Official Telephone | 8175589559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| Street Address |
110 EAST WALNUT ST |
| City | KEENE |
| State | TX |
| Zip Code | 76059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609992569 | Keene Isd | Local Education Agency (LEA) | 404 Charger Dr., Keene, TX 76059 | 2007-03-22 |
| 1770664567 | Brady Dee Rusk | Dentist | 104 S Old Betsy Rd, Keene, TX 76059 | 2006-10-18 |
| 1124057948 | City of Keene Tex | Ambulance | 203 W Hillcrest, Keene, TX 76059 | 2006-07-02 |
| 1053815720 | Sherrie Harris-smith | Social Worker | 112 E 4th St, Keene, TX 76059-1202 | 2018-03-19 |
| 1780739342 | Quality Home Health | Home Health | 212 E Highway 67 # B, Keene, TX 76059-1216 | 2007-01-24 |
| 1912512401 | Rashmi Thapa | Dentist | 428 S Old Betsy Rd Ste C, Keene, TX 76059-1411 | 2020-09-10 |
| 1306132840 | Megan Belken | Dentist | 428 S Old Betsy Rd, Suite C, Keene, TX 76059-1411 | 2011-06-23 |
| 1568728269 | Keene Family Dental, Pa | Dentist | 428 S Old Betsy Rd, Ste. C, Keene, TX 76059-1411 | 2012-04-06 |
| 1639224223 | Chisholm Trail Estates, Inc | Alzheimer Center (Dementia Center) | 513 S Old Betsy Rd, Keene, TX 76059-1414 | 2007-01-24 |
| 1245855618 | Francine Pearl Esquiliano | Counselor | 528 Heather Ln, Keene, TX 76059-1600 | 2020-06-11 |
| Find all providers in zip 76059 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY LIVING CONCEPTS, 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.