OrganizationActive
Concepts in Community Living, Inc.
NPI 1548863202 · Physical Disabilities Residential Treatment Facility · Mount Vernon, OH
Provider details
- NPI number
- 1548863202
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Phillips, Ceo(740) 393-0055
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
710 S Main St
Mount Vernon, OH 43050-9395
Phone: (740) 393-0055
Fax: (740) 393-1139
Street-level locationGet directions
Mailing address
710 S Main St
Mount Vernon, OH 43050-9395
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.