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COMMUNITY CONNECTIONS INC. NPI 1174669675


NPI Information

NPI: 1174669675
Provider Name: COMMUNITY CONNECTIONS, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
127 WHITES PATH
S YARMOUTH, MA
ZIP 02664
Phone: (508) 362-1140
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COMMUNITY CONNECTIONS, INC. is a day training developmentally disabled services in S Yarmouth, MA. The provider is 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. COMMUNITY CONNECTIONS, INC. NPI is 1174669675. The provider is registered as an organization entity type.

The provider's business location address is:

127 WHITES PATH
S YARMOUTH, MA
ZIP 02664-217
Phone: (508) 362-1140
Fax: (508) 362-9198

The provider's authorized official is Susan Johnson .
The authorized official title is Vice President Of Operations and has the following contact phone number (508) 362-1140.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11311336MEDICAIDMASSACHUSETTS
21301080MEDICAIDMASSACHUSETTS
31311972MEDICAIDMASSACHUSETTS
41305506MEDICAIDMASSACHUSETTS
51305549MEDICAIDMASSACHUSETTS
61311328MEDICAIDMASSACHUSETTS
71319477MEDICAIDMASSACHUSETTS
81305778MEDICAIDMASSACHUSETTS
91312235MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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