Healthcare Provider Details
I. General information
NPI: 1841355922
Provider Name (Legal Business Name): COMMUNITY LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 GUTHRIE ST SUITE 308
LOUISVILLE KY
40202-1829
US
IV. Provider business mailing address
333 GUTHRIE ST SUITE 308
LOUISVILLE KY
40202-1829
US
V. Phone/Fax
- Phone: 502-585-5272
- Fax: 502-585-5277
- Phone: 502-585-5272
- Fax: 502-585-5277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEPHEN
S.
ZARICKI
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 502-585-5272