Community Inclusion LLC · Developmental Disabilities Clinic/Center

320 Bluebird Dr, Russell, KY 41169-1568

Overview

Community Inclusion LLC is a Developmental Disabilities Clinic/Center (organization) practicing in Russell, Kentucky. The National Provider Identifier (NPI) is #1285514430, which was assigned on September 6, 2025, and the registration record was last updated on September 6, 2025. The practitioner's main practice location is at 320 Bluebird Dr, Russell, KY 41169-1568; the contact telephone number is 6066941797. The primary taxonomy of Community Inclusion LLC is Developmental Disabilities Clinic/Center (261QD1600X), with specialization in Developmental Disabilities. The authorized official for Community Inclusion LLC is Toni Mullins (Executive Director).

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Provider Information

NPI 1285514430
Entity Type Organization
Organization Name COMMUNITY INCLUSION LLC
Provider Name COMMUNITY INCLUSION LLC
Practice Address 320 Bluebird Dr
Russell
KY 41169-1568
Practice Telephone 6066941797
Mailing Address 320 Bluebird Dr
Russell
KY 41169-1568
Mailing Telephone 6066941797
Certification Date 2025-09-06
Enumeration Date 2025-09-06
Last Update Date 2025-09-06
Is Organization Subpart N

Authorized Official Information

Official Name TONI MULLINS
Official Title EXECUTIVE DIRECTOR
Credential MSN, RN
Telephone 6066941797

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QD1600XClinic/CenterDevelopmental Disabilities

Taxonomy Information

Primary Taxonomy

Code 261QD1600X
Taxonomy Developmental Disabilities Clinic/Center
Classification Clinic/Center
Specialization Developmental Disabilities
Grouping Ambulatory Health Care Facilities
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Uniting Minds 1428 N Potomac St, Baltimore, MD 21213-3917Developmental Disabilities Clinic/Center2025-09-04
Ephrata Homes Inc 1818 New York Ave Ne Ste 111, Washington, DC 20002-1849Developmental Disabilities Clinic/Center2025-09-03
Ayawavi Zounon 16908 Huntington Ave, Omaha, NE 68116-3602Developmental Disabilities Clinic/Center2025-08-15
Guiding Hands Guardianship Services 63 Weaver St, Little Falls, NJ 07424-1047Developmental Disabilities Clinic/Center2025-08-27
Fbtc Transitional Sub, LLC 1 Randall Sq Ste 302&307, Providence, RI 02904-2709Developmental Disabilities Clinic/Center2025-09-01
Mgr Garcia Services LLC 12460 Sw 207th Ter, Miami, FL 33177-5630Developmental Disabilities Clinic/Center2025-08-07
Susan Lyn Parascand 2403 Circletown Pl, Bellevue, NE 68123-1049Developmental Disabilities Clinic/Center2025-08-13
Life Steps Day Hab 20 Jackson St, Freehold, NJ 07728-2476Developmental Disabilities Clinic/Center2025-08-12
Kimberly Kolling 9127 Coogan Dr, Cincinnati, OH 45231-2909Developmental Disabilities Clinic/Center2025-09-04
Wellness Center for All 5614 Hall Road, Columbus, OH 43228Developmental Disabilities Clinic/Center2025-08-20
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Location Information

Street Address 320 BLUEBIRD DR
City RUSSELL
State KY
Zip Code 41169-1568
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jensyn Serene Whitehead 404 Ferry St, Russell, KY 41169-1343Nurse Practitioner2025-01-06
Nicholas Dellaflora 1490 Diederich Blvd, Russell, KY 41169-1719Physical Therapist2023-08-07
Michele A Friday 1061 Kenwood Dr, Russell, KY 41169-1527Cardiovascular Disease Physician2006-03-14
Harmony Family Healthcare 1619 Diederich Blvd, Russell, KY 41169-1778Family Medicine Physician2025-06-09
Appalachian Healthworks LLC 1619 Diederich Blvd Ste A, Russell, KY 41169-1781Home Health Registered Nurse2025-06-25
Supportive Med 1619 Diederich Blvd Ste B, Russell, KY 41169-1779Family Medicine Physician2025-04-21
Jasmine Smith 1451 Diederich Blvd, Russell, KY 41169-1718Physical Therapist2025-05-28
Wesley Clay Stephens 314 Ferry St, Russell, KY 41169-1371Case Manager/Care Coordinator2024-12-04
Tri-State Healing Initiative LLC 1619 Diederich Blvd Ste D1, Russell, KY 41169-1778Family Medicine Physician2023-06-08

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
Veda Jenee Tapp 971 E Wichita Ave, Russell, KS 67665-2444Behavior Technician2025-07-18
Jenny Beemer 418 N Lincoln St, Russell, KS 67665-2729Social Worker2025-08-05
Dhwani Rakesh Tripathi 971 E Wichita Ave, Russell, KS 67665-2444Behavior Technician2025-06-05
Blaze Carreno 971 E Wichita Ave, Russell, KS 67665-2444Assistant Behavior Analyst2025-06-04
Brianna Nicole Zumalt 971 E Wichita Ave, Russell, KS 67665-2444Assistant Behavior Analyst2025-06-04
Sara B Williams 971 E Wichita Ave, Russell, KS 67665-2444Assistant Behavior Analyst2025-05-24

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.