SALEM RESIDENTIAL CARE
NPI 1518964006
Custodial Care Facility - Adult Care Home in Salem, MO

Q: What is Community Residence, Inc.'s NPI number?

The NPI number for Community Residence, Inc. is 1518964006. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Salem Residential Care.

Q: 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.

Active since June 30, 2005CLIA 26D0906274 · Waiver

1207 E ROOSEVELT ST, SALEM, MO 65560(573) 729-9449(573) 729-8719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Salem Residential Care NPPES

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

SALEM RESIDENTIAL CARE (NPI 1518964006) is a healthcare organization registered as an adult care home in Salem, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists James Giardina, President, as its authorized official.

NPPES Registry Identity

NPI1518964006

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCOMMUNITY RESIDENCE, INC.

Location Address1207 E ROOSEVELT STSalem, MO 65560-9676

Mailing Address312 Solley Dr, RearBallwin, MO 63021-5248 · (636) 394-3000 · Fax (636) 394-7713

Phone(573) 729-9449

Fax(573) 729-8719

Organization SubpartNo

Authorized OfficialJames GiardinaPresident · (636) 394-3000

Enumeration DateJune 30, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518964006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MO · 030959

Definition

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.

1207 E ROOSEVELT ST, Salem, MO 65560

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Other Names 1

Doing Business AsSalem Residential Care

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 26D0906274

Salem Residential Care · Salem, MO

Active · expires Sep 28, 2027

CLIA Number26D0906274

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 29, 2025

Certificate Expiration DateSeptember 28, 2027

Laboratory DirectorPam Nash

Laboratory Phone(417) 425-3062

Laboratory LocationSalem Residential Care1207 East Roosevelt, Salem, MO 65560

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAPLE INVESTMENT GROUP LLC

Assisted Living Facility

1207 E ROOSEVELT ST
SALEM, MO 65560

Dent County (417) 425-3062

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 1518964006. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Salem Residential Care.

Where is Community Residence, Inc. located?

Community Residence, Inc. is located at 1207 E Roosevelt St, Salem, MO 65560. The listed phone number is (573) 729-9449.

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 26D0906274) is associated with this NPI, valid through September 28, 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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.