MEDICARE: COMMUNITY INNOVARE INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	343800000X	Secured Medical Transport (VAN)
3	253J00000X	Foster Care Agency
4	251V00000X	Voluntary or Charitable Agency
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6	343900000X	Non-emergency Medical Transport (VAN)
7	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1568277366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY INNOVARE INCORPORATED

Provider Business Mailing Address
First Line	:	3824 CEDAR SPRINGS RD STE 226
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4136
Country	:	US
Telephone Number	:	704-412-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	1361 RIVERSIDE OAKS DR
Second Line	:
City	:	ROCKWALL
State	:	TX
Zip	:	75087-2423
Country	:	US
Telephone Number	:	704-412-1554
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	PATRICK HOPKINS
Credential	:
Telephone Number	:	704-412-1554

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	03/22/2026

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Directions to “COMMUNITY INNOVARE INCORPORATED ” Practice Location

Language	Start Address	Practice Location

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