Community Residence, Inc. is a
Physical Therapist based in Carl Junction, Missouri. Community Residence, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
201 Fir Rd, Carl Junction, Missouri. It can be reached at their office (for appointments etc.) via phone at
(417) 782-5659.
NPI number for Community Residence, Inc. is 1043104052 and their current mailing address is 201 Fir Rd, Carl Junction, Missouri. Community Residence, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043104052.
Healthcare Provider's Profile
| Full Name | Community Residence, Inc. |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 201 Fir Rd, Carl Junction, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043104052
- Provider Enumeration Date: 06/04/2025
- Last Update Date: 06/04/2025
Medical Identifiers
Medical identifiers for Community Residence, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043104052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Community Residence, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Community Residence, Inc.
201 Fir Rd,
Carl Junction, MO 64834-9222
Ph: () - | Community Residence, Inc.
201 Fir Rd,
Carl Junction, MO 64834-9222
Ph: (417) 782-5659 |
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