COMMUNITY CARE, INC. (NPI# 1720140403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720140403 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE, INC. |
| Practice Address |
915 10th St De Witt IA 52742-1252 |
| Mailing Address |
108 Industrial St De Witt IA 52742-2063 |
| Practice Telephone | 5636594100 |
| Practice Fax Number | 5636591120 |
| Mailing Telephone | 5636594100 |
| Mailing Fax Number | 5636591120 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENJAMIN WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5636594100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 230519 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0881995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559706 | Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-01-31 |
| 1073544805 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-9756 | 2006-07-06 |
| 1073161303 | Community Care, Inc. | Home Health | 201 E Pennsylvania Ave, New Stanton, PA 15672-2700 | 2019-08-29 |
| 1386776268 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-03-09 |
| 1194857078 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 110 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1710019690 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2275 S Linn Ave, New Hampton, IA 50659-9412 | 2007-03-09 |
| 1629100508 | Community Care, Inc. | Community/Behavioral Health | 108 Industrial St, De Witt, IA 52742-2063 | 2007-03-09 |
| 1578690244 | Community Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 330th Ave, Charlotte, IA 52731-9682 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMUNITY CARE, INC | 650 S Cherry St #14000, Denver, CO 80246 |
| New York State Corporations | COMMUNITY CARE, INC. | 85 East End Ave, #10f, New York, Ny 10028 |
| Massachusetts Corporations | COMMUNITY CARE, INC. | Kenneth G. Littman, 251 Cherry St., Fall River, MA 02720 |
| Street Address |
915 10TH ST |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
| 1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
| 1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
| 1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
| 1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| 1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| Find all providers in zip 52742 | ||||
| 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 |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY CARE, 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.