COMMUNITY LIVING OPTIONS INC (NPI# 1710159157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710159157 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING OPTIONS INC |
| Other Organization Name | HIGHVIEW TERRACE |
| Practice Address |
409 N High Street Paris IL 61944-1524 |
| Mailing Address |
285 South Farnham Street Galesburg IL 61401-5323 |
| Practice Telephone | 2174631809 |
| Practice Fax Number | 2174651006 |
| Mailing Telephone | 3093431550 |
| Mailing Fax Number | 3093436318 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. RONALD J WILSON (AUTHORIZED AGENT) |
| Authorized Official Telephone | 3093431550 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY LIVING OPTIONS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 32003 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Highview Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639341563 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 321 Chestnut, Paris, IL 61944-1407 | 2008-04-01 |
| 1366614281 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 426 E Douglas, Jacksonville, IL 62650-2114 | 2008-04-01 |
| 1457523383 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 2883 Taylor Ave, Springfield, IL 62703-4323 | 2008-04-01 |
| 1447422373 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 408 Anna Street, Jacksonville, IL 62650-2847 | 2008-04-01 |
| 1720250640 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 2016 Windish Drive, Galesburg, IL 61401-9773 | 2008-04-01 |
| 1811169741 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 2182 Windish Drive, Galesburg, IL 61401-9775 | 2008-04-01 |
| 1902078835 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 356 S Michigan Ave, Galesburg, IL 61401-5443 | 2008-04-01 |
| 1710159645 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 1101 S Third Street, Effingham, IL 62401-4022 | 2008-04-01 |
| 1548432461 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 1450 Virginia Avenue, Wood River, IL 62095-1808 | 2008-04-01 |
| 1538331467 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 260 S Michigan Drive, Galesburg, IL 61401-5441 | 2008-04-01 |
| 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 |
409 N HIGH STREET |
| City | PARIS |
| State | IL |
| Zip Code | 61944-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in zip 61944 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639341563 | Community Living Options Inc | Intermediate Care Facility, Mentally Retarded | 321 Chestnut, Paris, IL 61944-1407 | 2008-04-01 |
| 1710041702 | Pamela Love | Intermediate Care Facility, Mentally Retarded | 1555 Ne 17th St, Paris, TX 75460 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
| 1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| 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.