OrganizationActive
Community Residence, Inc.
NPI 1275530776 · Adult Care Home Facility · Licking, MO
Community Residence, Inc. is a Adult Care Home Facility organization in Licking, MO (NPI 1275530776).
Provider details
- NPI number
- 1275530776
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Parent organization
- Community Residence, Inc
- Organization subpart
- Yes
- Authorized official
- James Giardina, President(636) 394-3000
- License
- 030734 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 W Highway 32
Licking, MO 65542-9832
Phone: (573) 674-2207
Fax: (573) 674-2239
Approximate (ZIP-level) locationGet directions
Mailing address
312 Solley Dr
Ballwin, MO 63021-5248
Other names (DBA / former)
- Doing business as
- Licking Residential Care
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2008-06-13
Frequently asked questions
- What is Community Residence, Inc.'s NPI number?
- Community Residence, Inc.'s National Provider Identifier (NPI) is 1275530776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Residence, Inc.?
- Community Residence, Inc. is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Community Residence, Inc. located?
- Community Residence, Inc.'s practice location on file with NPPES is 225 W Highway 32, Licking, MO 65542-9832.
- What is Community Residence, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Community Residence, Inc. is (573) 674-2207.
- Who is the authorized official for Community Residence, Inc.?
- The authorized official listed on Community Residence, Inc.'s NPPES record is James Giardina, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Residence, Inc.'s NPI active?
- Yes — Community Residence, Inc.'s NPI (1275530776) is active in the NPPES registry as of the last update on 2008-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.