Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Residence, Inc

Organization Adult Care Home Facility · NPI 1518964006

Community Residence, Inc is an Adult Care Home Facility in Salem, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1207 E Roosevelt St
Salem, MO 65560-9676
Phone: (573) 729-9449
Fax: (573) 729-8719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 030959 (MO)

Record details

NPI number1518964006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Giardina — President · (636) 394-3000
Other names Salem Residential Care
NPI enumeratedJune 30, 2005
Last updated in NPPESAugust 22, 2020
Mailing address312 Solley Dr, Rear, Ballwin, MO 63021-5248

Other providers in Salem