COMMUNITY RESIDENCE INC. NPI 1679570170

NPI Information

  • NPI: 1679570170
  • Provider Name: COMMUNITY RESIDENCE, INC.
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: BOSS RESIDENTIAL CARE
  • Address: 32 HIGHWAY
    BOSS, MO
    ZIP 65440
  • Phone: (573) 626-4611

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NPI Details

COMMUNITY RESIDENCE, INC. is an adult care home custodial care facility in Boss, 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 1679570170. The provider is registered as an organization entity type.
The provider Is Doing Business As Boss Residential Care.

The provider's business location address is:

32 HIGHWAY
BOSS, MO
ZIP 65440
Phone: (573) 626-4611
Fax: (573) 626-4611

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 enumeration date for this NPI number is 6/30/2005 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
1311ZA0620XCustodial Care FacilityAdult Care Home030558MISSOURIYes

What is NPI?

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

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