Provider Demographics
NPI:1629144530
Name:COMMUNITY LIVING OPTIONS
Entity Type:Organization
Organization Name:COMMUNITY LIVING OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIORELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPALVIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-343-6355
Mailing Address - Street 1:626 REED AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-2971
Mailing Address - Country:US
Mailing Address - Phone:269-343-6355
Mailing Address - Fax:269-343-0054
Practice Address - Street 1:626 REED AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2971
Practice Address - Country:US
Practice Address - Phone:269-343-6355
Practice Address - Fax:269-343-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251C00000X, 251S00000X, 320800000X, 320900000X, 320600000X, 320800000X, 320800000X, 320800000X, 320800000X, 320800000X, 320800000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility