MEDICARE: COMMUNITY PRESENCE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	385H00000X	Respite Care
6	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	29100492	OTHER	KY	IMPACT PLUS

General Provider Information

NPI Number	:	1053533638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PRESENCE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1185
Second Line	:
City	:	GRAYSON
State	:	KY
Zip	:	41143-5185
Country	:	US
Telephone Number	:	606-475-9122
Fax Number	:	606-474-6225

Provider Business Practice Location Address
First Line	:	1758 EAST MIDLAND TRAIL
Second Line	:
City	:	GRAYSON
State	:	KY
Zip	:	41143
Country	:	US
Telephone Number	:	606-475-9122
Fax Number	:	606-474-6225

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ANGEE N. SEXTON
Credential	:
Telephone Number	:	606-475-9122

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/11/2025

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Directions to “COMMUNITY PRESENCE, INC. ” Practice Location

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