COMMUNITY RESIDENCE INC. NPI 1376540872

NPI Information

  • NPI: 1376540872
  • Provider Name: COMMUNITY RESIDENCE, INC.
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: SENECA HOME PLACE
  • CLIA Number: 26D0958363
  • Address: 2400 CHEROKEE AVE
    SENECA, MO
    ZIP 64865
  • Phone: (417) 776-8053

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NPI Details

COMMUNITY RESIDENCE, INC. is an adult care home custodial care facility in Seneca, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. COMMUNITY RESIDENCE, INC. NPI is 1376540872. The provider is registered as an organization entity type.
The provider Is Doing Business As Seneca Home Place.

The provider's business location address is:

2400 CHEROKEE AVE
SENECA, MO
ZIP 64865-323
Phone: (417) 776-8053
Fax: (417) 776-1683

The provider's authorized official is James Giardina .
The authorized official title is President and has the following contact phone number (636) 394-3000.

The CLIA number assigned to this NPI record is 26D0958363 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home029629MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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