COMMUNITY ACTION AGENCY
NPI 1831311091
Voluntary or Charitable in Adrian, MI

Active since May 03, 2007CLIA 23D1052401 · Waiver
400 W SOUTH ST, ADRIAN, MI 49221(517) 263-7861(517) 263-6531 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Community Action Agency NPPES

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

COMMUNITY ACTION AGENCY (NPI 1831311091) is a healthcare organization registered as a voluntary or charitable in Adrian, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Toby Berry, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1831311091
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameCOMMUNITY ACTION AGENCY
Location Address400 W SOUTH STAdrian, MI 49221-3825
Mailing Address400 W South StAdrian, MI 49221-3825 · (517) 263-7861 · Fax (517) 263-6531
Fax(517) 263-6531
Organization SubpartNo
Authorized OfficialToby BerryChief Executive Officer · (517) 539-8311
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1831311091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
400 W SOUTH ST, Adrian, MI 49221

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 23D1052401

Community Action Agency - Wic Program · Adrian, MI
Active · expires Mar 23, 2028
CLIA Number23D1052401
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorToby Berry
Laboratory Phone(517) 263-7861
Laboratory LocationCommunity Action Agency - Wic Program400 W South Street, Adrian, MI 49221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
400 W SOUTH ST
ADRIAN, MI 49221
Nutritionist (Nutrition, Education)
400 W SOUTH ST
ADRIAN, MI 49221

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 Action Agency's NPI number?

The NPI number for Community Action Agency is 1831311091. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Community Action Agency located?

Community Action Agency is located at 400 W South St, Adrian, MI 49221. The listed phone number is (517) 263-7861.

What is Community Action Agency's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does Community Action Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1052401) is associated with this NPI, valid through March 23, 2028. 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 Action Agency was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.