COMMUNITY LIVING - NPI 1457412090 - Intermediate Care Facility, Intellectual Disabilities in Coon Rapids, MN

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

On this page

About Community Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY LIVING (NPI 1457412090) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Coon Rapids, Minnesota and active in the NPI registry since December 2006. The organization lists Monica Schmidt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457412090

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameCOMMUNITY LIVING

Location Address2483 109TH AVE NWCoon Rapids, MN 55433-3942

Mailing Address1600 Arboretum Blvd.Victoria, MN 55386

Phone(952) 443-2048

Organization SubpartNo

Authorized OfficialMonica SchmidtAdministrator · (952) 443-2048

Enumeration DateDecember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457412090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in MN · 800534

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2483 109TH AVE NW, Coon Rapids, MN 55433

Open in Google Maps ↗

Frequently Asked Questions

What is COMMUNITY LIVING's NPI number?

The NPI number assigned to this healthcare provider is 1457412090, enumerated as an "organization" on December 13, 2006.

Where is the provider located?

The provider is located at 2483 109TH AVE NW COON RAPIDS, MN 55433 and the phone number is (952) 443-2048.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.