LICKING RESIDENTIAL CARE
NPI 1275530776
Custodial Care Facility - Adult Care Home in Licking, MO
About Licking Residential Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LICKING RESIDENTIAL CARE (NPI 1275530776) is a healthcare organization registered as an adult care home in Licking, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists James Giardina, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D1038551
Licking Residential Care Licking Residential Care · Licking, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Residence, Inc.'s NPI number?
The NPI number for Community Residence, Inc. is 1275530776. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Licking Residential Care.
Where is Community Residence, Inc. located?
Community Residence, Inc. is located at 225 W Highway 32, Licking, MO 65542. The listed phone number is (573) 674-2207.
What is Community Residence, Inc.'s specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does Community Residence, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D1038551) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Community Residence, Inc. was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.
