COMMUNITY LIVING INC. NPI 1669533212

NPI Information

NPI: 1669533212
Provider Name: COMMUNITY LIVING INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2493 109TH AVE NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 757-6248
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COMMUNITY LIVING INC. is an intermediate care facility mentally retarded in Coon Rapids, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY LIVING INC. NPI is 1669533212. The provider is registered as an organization entity type.

The provider's business location address is:

2493 109TH AVE NW
COON RAPIDS, MN
ZIP 55433-942
Phone: (763) 757-6248

The provider's authorized official is Monica Schmidt .
The authorized official title is Administrator and has the following contact phone number (952) 443-2048.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		800535	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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