Community Living, Inc

LBN: Community Living, Inc
Community Living, Inc is an health care organization with primary practice located at 429 N Superior St , Angola IN 46703-1442. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Community Living, Inc can be contacted via phone (260) 665-7681, or through Thiebaut, Randy via phone (260) 665-7681.

Contact Information

Primary practice address
429 N Superior St Angola IN 46703-1442
Phone: (260) 665-7681
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thiebaut, Randy
Phone: (260) 665-7681

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 2511I0007DE04 Indiana

Profile Details

NPI number 1477882371
LBN Legal business name Community Living, Inc
DBA Doing business as
Authorized official Thiebaut, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2009
Last updated Dec 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477882371 NPPES
Indiana MEDICAID 100235290

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