COMMUNITY LIVING OPTIONS (NPI# 1528423407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528423407 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING OPTIONS |
| Practice Address |
285 S Farnham St Galesburg IL 61401-5323 |
| Practice Telephone | 3093431550 |
| Mailing Telephone | 3093431550 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | MR. RONALD J WILSON (AUTHORIZED AGENT) |
| Authorized Official Telephone | 3093431550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201300004S | IL | Residential Treatment Facilities |
| 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 |
| 1003321142 | Community Living Options | Foster Care Agency | 805 Farrell Ave, Kalamazoo, MI 49006-5558 | 2017-12-12 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY LIVING OPTIONS INC | 285 S Farnham St, Galesburg, IL 61401-5323 |
| Street Address |
285 S FARNHAM ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407058969 | Community Unit School District #205 | Local Education Agency (LEA) | 285 S Farnham St, Galesburg, IL 61401-5323 | 2007-06-05 |
| 1245695121 | Frances House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| 1508221482 | Pinnacle Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| 1053776930 | Pioneer Concepts, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| 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 |
|---|---|---|---|---|
| 1508371733 | Residential Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1428 N 30th St, Galesburg, MI 49053-8739 | 2017-12-11 |
| 1184896532 | Achievement Unlimited Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 South Farnham Street, Galesburg, IL 61401-5323 | 2008-03-26 |
| 1972967842 | Bridgeway Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2016-04-07 |
| 1245695121 | Frances House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| 1508221482 | Pinnacle Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| 1053776930 | Pioneer Concepts, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 S Farnham St, Galesburg, IL 61401-5323 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
| 1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
| 1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
| 1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
| 1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
| 1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
| 1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
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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.