COMMUNITY LIVING CONCEPTS, INC – NPI #1316002439
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

COMMUNITY LIVING CONCEPTS, INC is a community based residential treatment facility located in KEENE, TX. NPPES has assigned the NPI number 1316002439 to COMMUNITY LIVING CONCEPTS, INC on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Oct 03, 2023. 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 COMMUNITY LIVING CONCEPTS, INC below.

NPI Profile for
COMMUNITY LIVING CONCEPTS, INC

NPI Number
1316002439
Enumeration Date

(more than 19 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
COMMUNITY LIVING CONCEPTS, INC
Primary location
110 EAST WALNUT ST
KEENE, TX 76059
Phone: (817) 558-9559 Fax: (817) 928-1676
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KYLE HANNAH
CEO
Phone: (817) 558-9559
Updated
Certification Date
Oct 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.