MT VERNON RESIDENTIAL CARE
NPI 1669479150
Custodial Care Facility - Adult Care Home in Mount Vernon, MO

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

The NPI number for Community Residence, Inc. is 1669479150. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Mt Vernon 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, 2005

1425B S LANDRUM ST, MOUNT VERNON, MO 65712(417) 466-3649(417) 466-4909 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mt Vernon Residential Care NPPES

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

MT VERNON RESIDENTIAL CARE (NPI 1669479150) is a healthcare organization registered as an adult care home in Mount Vernon, Missouri and active in the NPI registry since June 2005. The organization lists James Giardina, President, as its authorized official.

NPPES Registry Identity

NPI1669479150

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCOMMUNITY RESIDENCE, INC.

Location Address1425B S LANDRUM STMount Vernon, MO 65712-1912

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

Phone(417) 466-3649

Fax(417) 466-4909

Organization SubpartNo

Authorized OfficialJames GiardinaPresident · (636) 394-3000

Enumeration DateJune 30, 2005

Last NPPES UpdateOctober 30, 2007

✔ NPI 1669479150 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 · 029793

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.

1425B S LANDRUM ST, Mount Vernon, MO 65712

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Other Names 1

Doing Business AsMt Vernon Residential Care

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 1669479150. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Mt Vernon Residential Care.

Where is Community Residence, Inc. located?

Community Residence, Inc. is located at 1425B S Landrum St, Mount Vernon, MO 65712. The listed phone number is (417) 466-3649.

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.

When was this NPI record last updated?

The NPPES record for Community Residence, Inc. was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.