Provider Demographics
NPI:1790827970
Name:COMMUNITY LIVING OPPORTUNITIES
Entity Type:Organization
Organization Name:COMMUNITY LIVING OPPORTUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-341-9316
Mailing Address - Street 1:PO BOX 14395
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66285-4395
Mailing Address - Country:US
Mailing Address - Phone:913-341-9316
Mailing Address - Fax:913-341-1198
Practice Address - Street 1:11627 W 79TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1488
Practice Address - Country:US
Practice Address - Phone:913-341-9316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness