TRADITIONAL COMMUNITY LIVING – NPI #1679849046
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

TRADITIONAL COMMUNITY LIVING is a residential treatment facility located in LINCOLN, DE. NPPES has assigned the NPI number 1679849046 to TRADITIONAL COMMUNITY LIVING on March 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRADITIONAL COMMUNITY LIVING below.

NPI Profile for
TRADITIONAL COMMUNITY LIVING

NPI Number
1679849046
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRADITIONAL COMMUNITY LIVING
Primary location
8367 BRICK GRANARY ROAD
LINCOLN, DE 19960
Phone: (302) 424-0907 Fax:
Mailing address
8367 BRICK GRANARY RD
LINCOLN, DE 19960-3812
Phone: (302) 424-0907 Fax:
Organization Subpart
No
Authorized Official
KIMBERLY JOHNSON
OWNER
Phone: (302) 424-0907
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
DE 20120227152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.