Provider Demographics
NPI:1770708984
Name:CARING IN COMMUNITY, INC.
Entity type:Organization
Organization Name:CARING IN COMMUNITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOPOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-625-6240
Mailing Address - Street 1:1105 MOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01370-9609
Mailing Address - Country:US
Mailing Address - Phone:413-625-6240
Mailing Address - Fax:413-625-6290
Practice Address - Street 1:1105 MOHAWK TRL
Practice Address - Street 2:
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-9609
Practice Address - Country:US
Practice Address - Phone:413-625-6240
Practice Address - Fax:413-625-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0144720Medicaid
MAH12815Medicare UPIN
MAA32773Medicare ID - Type Unspecified