COMMUNITY LIVING OPTIONS INC — NPI 1235301680 (Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded in LINCOLN, IL)

CMS-1500 Box 24J / 33a • NPI

1235301680

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

315P00000X (CMS A2[9])

Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded

Box 32 Service Location & ZIP+4

2324 N KICKAPOO STREET, LINCOLN, IL, 62656-1308

✓ 9-Digit EDI 837 ZIP+4 (62656-1308)

Practice Phone & Referral Fax

(217) 732-4422

Fax: (217) 732-6547

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235301680 (COMMUNITY LIVING OPTIONS INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235301680` (NPI-2 Organization / Facility)
Provider / Legal Name	COMMUNITY LIVING OPTIONS INC
Plain-English Specialty	Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded NUCC Code: `315P00000X` (Intermediate Care Facility, Intellectual Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2324 N KICKAPOO STREET, LINCOLN, IL, 62656-1308
Practice Telephone / Fax	Tel: (217) 732-4422 \| Fax: (217) 732-6547
Administrative Mailing Address	285 SOUTH FARNHAM STREET, GALESBURG, IL, 61401-5323
Enumeration & Last Sync	Enumerated: 2008-03-26 \| CMS Record Updated: 2008-04-20
Authorized Official	RONALD WILSON (Authorized Agent)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2324 N KICKAPOO STREET, LINCOLN, IL, 62656-1308

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Plain-English Taxonomy & CMS Crosswalk (315P00000X)

What Does Taxonomy Code 315P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 315P00000X translates to:
"Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A2[9] (Intermediate Care Nursing Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Intermediate Care Facility, Intellectual Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COMMUNITY LIVING OPTIONS INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: IL \| License: `35410` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COMMUNITY LIVING OPTIONS INC (NPI #1235301680)