COMMUNITY CARE, INC , NPI 1386771939
Community Based Residential Treatment Facility in DE WITT, IA
Last Updated on : Aug 22,2020
About COMMUNITY CARE, INC (NPI 1386771939)
COMMUNITY CARE, INC is a Community Based Residential Treatment Facility in DE WITT, United States with a focus in Mental Illness .
1386771939 is NPI number of COMMUNITY CARE, INC.
COMMUNITY CARE, INC's primary taxonomy code based on NPI Lookup is 320800000X with license number 230904. This taxonomy code refers to Community Based Residential Treatment Facility.
COMMUNITY CARE, INC current practice location address is 108 INDUSTRIAL ST, DE WITT, IA. COMMUNITY CARE, INC can be reached out via phone at 563-659-4100 and via fax at 563-659-1120 .
You can also correspond with COMMUNITY CARE, INC through mail at mailing address 1611 330TH AVE, CHARLOTTE, IA, United States. Mailing address contact number is 563-659-4100.
The enumeration date of COMMUNITY CARE, INC is 28-Feb-2007. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of COMMUNITY CARE, INC is Benjamin Wright (Executive Director). Benjamin Wright can be reached at 5636594100.1386771939 NPI Information
Basic NPI information of COMMUNITY CARE, INC (NPI 1386771939) is provided below.
| Name | COMMUNITY CARE, INC |
|---|---|
| National Provider Id (NPI) | 1386771939 |
| Entity Type | Organization |
| Practice Address | 108 INDUSTRIAL ST,
DE WITT, IA, United States |
| Practice Telephone | 563-659-4100 |
| Practice Fax Number | 563-659-1120 |
| Mailing Address | 1611 330TH AVE ,
CHARLOTTE, IA, United States |
| Mailing Telephone | 563-659-4100 |
| Mailing Fax Number | 563-677-2312 |
| Enumeration Date | 28-Feb-2007 |
| Last Updated Date | 22-Aug-2020 |
COMMUNITY CARE, INC (NPI 1386771939) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 230904 | IA |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02-43329 | MEDICAID (05) | IA |
COMMUNITY CARE, INC (NPI 1386771939) Office Location
Office location of COMMUNITY CARE, INC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1396882122 | TOMMYS REXALL DRUG COMPANY INC | Durable Medical Equipment & Medical Supplies | 220 COURT SQ,
DE WITT, AR, United States |
31-Jan-2007 |
| 1265917611 | JACK LESLIE LOCK | Nurse Practitioner, Family | 811 HIGHWAY 65 S,
DUMAS, AR, United States |
02-Oct-2018 |
| 1023082575 | DEBRA CHARLENE WEST | Nurse Practitioner, Family | 609 W 13TH ST,
PO BOX 607 DE WITT, AR, United States |
13-Feb-2006 |
| 1346514403 | KARRI JO MITCHELL | Nurse Practitioner, Family | 1012B E 22ND ST,
STUTTGART, AR, United States |
06-Mar-2012 |
| 1649696154 | MARY WHITMORE | Speech-Language Pathologist, | 1841 S GRANDVIEW DR,
DEWITT DE WITT, AR, United States |
07-Mar-2014 |
| 1255758090 | JACQUE CHARLES | Pharmacist | 311 W CHESTNUT ST,
MARIANNA, AR, United States |
18-Mar-2014 |
| 1225328511 | DEWITT SCHOOL DISTRICT | Local Education Agency (LEA) | 422 W 1ST ST,
DE WITT, AR, United States |
08-Apr-2011 |
| 1114145893 | DANA R. REED | Nurse Practitioner, Family | 1641 S WHITEHEAD DR,
DE WITT, AR, United States |
20-Apr-2007 |
| 1659319150 | TRACY FAMILY PRACTICE CLINIC PA | Preferred Provider Organization | 1940 S WHITEHEAD DR,
DE WITT, AR, United States |
04-Jun-2006 |
| 1285678052 | GRAND PRAIRIE PHYSICAL THERAPY, INC. | Clinic/Center, Physical Therapy | 317 W 7TH ST,
DE WITT, AR, United States |
15-Jun-2006 |
| 1205276391 | JOHN RICHARD HOLT HESTIR | Dentist | 1703 S WHITEHEAD DR,
P O DRAWER 512 DE WITT, AR, United States |
03-Jul-2013 |
| 1205210796 | LHCG LXVIII, LLC | Nursing Care | PO BOX 51266,
LAFAYETTE, LA, United States |
14-Jul-2015 |
| 1003395435 | SAMANTHA SPICER | Pharmacist | 1614 STRAIT PL,
STUTTGART, AR, United States |
07-Aug-2018 |
| 1720411903 | BRANDYN TYLER ENGLAND | Pharmacist | 1640 S WHITEHEAD DR,
DE WITT, AR, United States |
12-Aug-2013 |
| 1245546324 | KAREN SUE HUDSPETH | Specialist | 181 HUDSPETH ROAD,
DEWITT, AR, United States |
26-Aug-2010 |
| 1770959512 | HEATHER HORTON MORGAN | Occupational Therapist, Pediatrics | 601 S UNION ST,
DE WITT, AR, United States |
17-Aug-2015 |
| 1245663897 | ABBY STATON | Pharmacist | 1640 S WHITEHEAD DR,
DE WITT, AR, United States |
19-Aug-2013 |
| 1104819358 | JERRIE ANN CUMMINGS | Physical Therapist | 317 W 7TH ST,
DE WITT, AR, United States |
23-Aug-2005 |
| 1053745794 | DEAN'S PHARMACY CLINIC | Pharmacy | 1640 S WHITEHEAD DR,
DE WITT, AR, United States |
29-Aug-2013 |
| 1215338777 | BRITTANY LIGON | Student in an Organized Health Care Education/Training Program | PO BOX 700,
DE WITT, AR, United States |
15-Sep-2014 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1386771939?1386771939 is the NPI number of COMMUNITY CARE, INC.
Where is COMMUNITY CARE, INC located?COMMUNITY CARE, INC is located at 108 INDUSTRIAL ST, DE WITT, IA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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