Healthcare Provider Details

I. General information

NPI: 1730153693
Provider Name (Legal Business Name): CLIENT COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 5TH AVE
WORTHINGTON MN
56187-2329
US

IV. Provider business mailing address

826 5TH AVE
WORTHINGTON MN
56187-2329
US

V. Phone/Fax

Practice location:
  • Phone: 507-376-3171
  • Fax: 507-376-3165
Mailing address:
  • Phone: 507-376-3171
  • Fax: 507-376-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number801983-2-SILS
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number802803-1-RS
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number802833-3-WS
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number804586-3-WS
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number802834-3-WS
License Number StateMN
# 6
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number1013799-3-WS
License Number StateMN

VIII. Authorized Official

Name: MS. LOUISE ANN KUHL
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 507-376-3171