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Community Living, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Angola, IN · enumerated 2009 · authorized official Randy Thiebaut, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477882371

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Registry record

Entity type Organization (Type 2)
Legal business name Community Living, Inc
Practice address 429 N Superior St, Angola, IN, 46703
Enumeration date Dec 24, 2009
Last updated in NPPES Dec 24, 2009

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License 2511I0007DE04 (IN) Primary

Authorized official

Name Randy Thiebaut
Title President

Other identifiers

Identifier Type State Issuer
100235290 Medicaid IN -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-12-24. Verify at npiregistry.cms.hhs.gov.
Where is Community Living, Inc located?
The practice location on file with NPPES is in Angola, IN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-24.