Active NPI
Community Connections Partnership
- Developmentally Disabled Services Day Training Agency
- Saint Paul, MN
National Provider Identifier
1003289661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- COMMUNITY CONNECTIONS PARTNERSHIP
- Practice address
- 1295 Bandana Blvd N
Suite 135
Saint Paul, MN 55108-5126 - Phone
- (651) 644-3140
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laurie Taazlar-Williams
- Title
- Executive Director
- Phone
- (651) 644-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1295 Bandana Blvd N
Suite 135
Saint Paul, MN 55108-5126
Mailing address
1295 Bandana Blvd N
Suite 135
Saint Paul, MN 55108-5126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A318013100 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Community Connections Partnership
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Saint Paul, MN
- NPI 1417109026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1003289661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 BANDANA BLVD N",
"address_2": "SUITE 135",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 BANDANA BLVD N",
"address_2": "SUITE 135",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085126",
"telephone_number": "651-644-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CONNECTIONS PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "TAAZLAR-WILLIAMS",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "651-644-3140",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A318013100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Community Based Mental Health Consulting and Training
- Community Birth Twin Cities
- Community Care Link
- Community Care Solutions LLC
- Community Collective Services LLC
- Community Connections Partnership
- Community Health Chiropractic Clinic, P.a.
- Community Healthkare Inc.
- Community of Peace Academy 4015-07
- Community Options St. Paul, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.