COLLABORATIVE COMMUNITY LLC


Address: 6000 Filbert Ct, Springfield, VA 22152-1609
Phone: 2023554327

COLLABORATIVE COMMUNITY LLC (NPI# 1659993079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659993079
Entity Type Organization
Organization Name COLLABORATIVE COMMUNITY LLC
Practice Address 6000 Filbert Ct
Springfield
VA 22152-1609
Practice Telephone 2023554327
Mailing Telephone 2023554327
Enumeration Date 2020-05-07
Last Update Date 2020-05-07
Authorized Official Name MR. JAMEL DENNARD KIMBRO (CEO)
Authorized Official Telephone 2023554327
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 6000 FILBERT CT
City SPRINGFIELD
State VA
Zip Code 22152-1609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140214 Samantha Maria Puller Physical Therapist 8348 Traford Lane Suite 200, Springfield, VA 22152 2020-07-05
1780102335 Illuminated Direction Health Maintenance Organization 6116 Rolling Road Suite 104, Springfield, VA 22152 2017-09-05
1023533650 Megan H Morrow Dentist 5803 Rolling Rd Ste 211, Springfield, VA 22152 2017-08-04
1851815179 Samantha Apoh Registered Nurse 6031 Sweet Oak Ct, Springfield, VA 22152 2017-07-28
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1114303450 Catherine L Kestle Social Worker 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 2015-08-10
1770999658 Shehzad Muhammad Sajid Dentist 7200 Jillspring Ct, Springfield, VA 22152 2014-07-11
1063751295 Rapfhel Adebowale Adenola Nurse's Aide 7541 Boston Blvd, Springfield, VA 22152 2013-02-07
1669742706 Selamawit Harar Pharmacist 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 2012-01-06
1275822116 Elizabeth Diane Reed Social Worker 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 2011-03-31
Find all providers in zip 22152

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1144685785 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 58 Shelburne Rd, Springfield, PA 19064-2206 2015-12-28
1912362088 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 524 Kerr Ln, Springfield, PA 19064-1616 2015-12-16
1558726620 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 139 N Hillcrest Rd, Springfield, PA 19064-1441 2015-12-16
1386029072 Preferred Family Healthcare, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2646 W Olive St, Apt A, Springfield, MO 65802-4620 2015-07-23
1104200096 The Arc of Union County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 43 Baltusrol Way, Springfield, NJ 07081-1503 2015-07-10
1558742940 Community Action for Independent Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 162 Bryant Ave, Springfield, NJ 07081-1615 2015-06-11
1790177467 Community Action for Independent Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Cornell Pkwy, Springfield, NJ 07081-3561 2015-03-04
1932546702 Behavioral Learning Center, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 230 N Belcrest Ave, Suite B, Springfield, MO 65802-6288 2013-06-03
1134422850 Abilities First Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1370 E Primrose St, Ste. A, Springfield, MO 65804-4279 2010-12-20
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 22152

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Dataset Information

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.

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