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Community Residence, Inc.

Community Residence, Inc. is a healthcare organization registered as Adult Care Home Facility in Licking, MO, holding Type 2 (organization) NPI 1275530776 since 2005. The authorized official on file is James Giardina, President.

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NPI 1275530776
Entity type Organization (Type 2)
Legal business name Community Residence, Inc.
Other name <Unavail>
Parent organization Community Residence, Inc
Practice address 225 W HIGHWAY 32, Licking, MO, 65542
Phone 5736742207
Fax 5736742239
Enumeration date 2005-06-30
Last updated in NPPES 2008-06-13

Authorized official

Name James Giardina
Title President
Phone 6363943000

Taxonomy & classification

Taxonomy code Specialty Primary License State
311ZA0620X Adult Care Home Facility Primary 030734 MO

Other identifiers

Identifier Type State Issuer
266178706 Medicaid MO
Copy-ready billing details
Provider: Community Residence, Inc.
NPI: 1275530776
Taxonomy: 311ZA0620X (Adult Care Home Facility)
Address: 225 W HIGHWAY 32, Licking, MO, 65542

Providers at this address

NPI Name Type Specialty Location
1790498079 Dogwood Investment Group LLC Organization Assisted Living Facility Licking, MO

Verify this record

Cross-check NPI 1275530776 against the authoritative CMS record: view Community Residence, Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Community Residence, Inc. located?
The practice location on file with NPPES is in Licking, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-13.