institution
Client Community Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Worthington, Minnesota
NPI 1730153693

Client Community Services, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Worthington, MN. Client Community Services, Inc. practices in Worthington, MN. The NPI Number for Client Community Services, Inc. is 1730153693 and holds a License No. 801983-2-SILS (Minnesota).

The current practice location address for Client Community Services, Inc. is 826 5Th Ave, Worthington, MN and can be reached out via phone at 507-376-3171 and via fax at 507-376-3165.

Location: 826 5Th Ave, Worthington, MN, 56187-2329
institution
Provider Profile Details
NPI Number
1730153693
Provider Name
Client Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
826 5Th Ave, Worthington, MN, 56187-2329
Phone Number
507-376-3171
Fax Number
507-376-3165
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4874528 01 MN MN DHS PROVIDER NUMBER
1218204 01 MN MN DHS PROVIDER NUMBER
2586185 01 MN MN DHS PROVIDER NUMBER
4253205 01 MN MN DHS PROVIDER NUMBER
7640200 01 MN MN DHS PROVIDER NUMBER
0733211 01 MN DHS PROVIDER NUMBER
1684221 01 MN MN DHS PROVIDER NUMBER
3752267 01 MN MN DHS PROVIDER NUMBER
1058207 01 MN MN DHS PROVIDER NUMBER
6540180 01 MN MN DHS PROVIDER NUMBER
2436256 01 MN MN DHS PROVIDER NUMBER
4697278 01 MN DHS PROVIDER NUMBER
6876773 01 MN MN DHS PROVIDER NUMBER
0488437 01 MN MN DHS PROVIDER NUMBER
5123208 01 MN MN DHS PROVIDER NUMBER
7965206 01 MN MN DHS PROVIDER NUMBER
3080200 01 MN MN DHS PROVIDER NUMBER
0595209 01 MN MN DHS PROVIDER NUMBER
7573201 01 MN MN DHS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
826 5Th Ave
City
State
Zip
56187-2329
Phone Number
507-376-3171
Fax Number
507-376-3165
person
Provider Business Mailing Address Details
Address
826 5Th Ave
City
State
Zip
56187-2329
Phone Number
507-376-3171
Fax Number
507-376-3165
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
802833-3-WS (Minnesota)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
802803-1-RS (Minnesota)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
801983-2-SILS (Minnesota)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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