A Special Needs Connection and Medicaid Waivers LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

A SPECIAL NEEDS CONNECTION AND MEDICAID WAIVERS LLC

Practice address

5684 Preminger Dr
Colorado Springs, CO 80911-3856

Phone

(719) 453-5249

Fax

(719) 348-8777

NPI assigned

Mar 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Morris

Title

Owner

Phone

(719) 453-5249

Specialties & licenses 1

Addresses

Tax ID family

A Special Needs Connection and Medicaid Waivers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Special Needs Connection and Medicaid Waivers LLC

  • Case Management Agency
  • Colorado Springs, CO
  • NPI 1952966426
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1003374364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5684 PREMINGER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113856",
            "telephone_number": "719-453-5249",
            "fax_number": "719-348-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5684 PREMINGER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113856",
            "telephone_number": "719-453-5249",
            "fax_number": "719-348-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPECIAL NEEDS CONNECTION AND MEDICAID WAIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-453-5249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Case Management Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.