COMMUNITY CARE INC (NPI# 1770565822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565822 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE INC |
| Practice Address |
246 E Hwy 29 Bertram TX 78605 |
| Mailing Address |
Po Box 193 Bertram TX 78605-0193 |
| Practice Telephone | 5123553184 |
| Practice Fax Number | 5123553186 |
| Mailing Telephone | 5123553184 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRENDA K RICKETSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5123553184 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598811911 | Community Care Inc | Clinic/Center | 3443 Us Highway 9, Freehold, NJ 07728-9153 | 2007-01-26 |
| 1811058738 | Community Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 E. Hwy 29, Bertram, TX 78605 | 2006-12-13 |
| 1932213923 | Community Care Inc | Pharmacy | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2006-08-18 |
| Street Address |
246 E HWY 29 |
| City | BERTRAM |
| State | TX |
| Zip Code | 78605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424027 | Jennifer Boehm Gattuso | Occupational Therapy Assistant | 540 Hwy 29, Bertram, TX 78605 | 2019-02-21 |
| 1871073676 | Heidi Lynn Hall | Occupational Therapy Assistant | 540 E. Hwy 29, Bertram, TX 78605 | 2018-08-21 |
| 1437604162 | Vicki J Bates | Counselor | 150 S. West St., Bertram, TX 78605 | 2016-08-23 |
| 1649657610 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 648 West Cedar Street, Bertram, TX 78605 | 2015-04-29 |
| 1922401728 | Bertram Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 540 E. Highway 29, Bertram, TX 78605 | 2014-10-07 |
| 1326268731 | Louis Levy Leatherman | Internal Medicine | 618 County Rd. 324, Bertram, TX 78605 | 2007-04-26 |
| 1811058738 | Community Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 E. Hwy 29, Bertram, TX 78605 | 2006-12-13 |
| 1487673315 | Lanny Michael Stone | Physician Assistant | 160 N Lampasas, Bertram, TX 78605 | 2006-07-19 |
| 1376595611 | Asif S Syed | Internal Medicine | 540 E Hwy 29, Bertram, TX 78605 | 2006-05-16 |
| 1346856937 | Piper Lindsley Clark | Speech-Language Pathologist | 540 E Hwy 29, Bertram, TX 78605 | 2020-09-18 |
| Find all providers in zip 78605 | ||||
| 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 |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| 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.