Organization
COMMUNITY OPTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P. STACK B.S., M.A. (PRESIDENT & C.E.O.)
(609) 951-9900
Entity
Organization
Contact information
Practice address
1300 ANDREA ST, SUITE 201, BOWLING GREEN, KY 42104-3382
(270) 780-9330
(270) 780-9332
Mailing address
16 FARBER RD, PRINCETON, NJ 08540-5913
(609) 951-9900
(609) 799-8960
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
33001520
KY
251C00000X
Developmentally Disabled Services Day Training Agency
33001520
KY
251C00000X
Developmentally Disabled Services Day Training Agency
7100095010
KY
252Y00000X
Early Intervention Provider Agency
33001520
KY
252Y00000X
Early Intervention Provider Agency
7100095010
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
33001520
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7100095010
KY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
33001520
KY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
7100095010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33001520
—
KY
05
—
7100095010
—
KY
05
—
7100122550
—
KY
Enumeration date
05/10/2007
Last updated
03/19/2013
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