OrganizationActive
Community Residence, Inc.
NPI 1518964006 · Adult Care Home Facility · Salem, MO
Provider details
- NPI number
- 1518964006
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Giardina, President(636) 394-3000
- License
- 030959 (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
20 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
1207 E Roosevelt St
Salem, MO 65560-9676
Phone: (573) 729-9449
Fax: (573) 729-8719
Street-level locationGet directions
Mailing address
312 Solley Dr
Ballwin, MO 63021-5248
Other names (DBA / former)
- Doing business as
- Salem Residential Care
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.