NPIMap

Organization Active NPI

Connections CSP, Inc.

Doing business as Blackbird Landing Group Home

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Townsend, DE
National Provider Identifier
1053470260
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1518 Issued in DE
Legal business name
CONNECTIONS CSP, INC.
Doing business as
Blackbird Landing Group Home
Practice address
994 Blackbird Landing Rd
Townsend, DE 19734-9141
Phone
(302) 659-0512
Fax
(302) 659-3949
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Jevon Z Hicks
Title
Director
Phone
(302) 377-2358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1518 DE Primary

Addresses

Primary practice location

994 Blackbird Landing Rd
Townsend, DE 19734-9141

Mailing address

3821 Lancaster Pike
Wilmington, DE 19805-1512
Phone (302) 442-6622

Other identifiers 1

IdentifierTypeStateIssuer
0001185561MedicaidDE

Other names 1

  • Blackbird Landing Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connections CSP Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1053470260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051512",
            "telephone_number": "302-442-6622",
            "fax_number": "302-984-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 BLACKBIRD LANDING RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349141",
            "telephone_number": "302-659-0512",
            "fax_number": "302-659-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS CSP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEVON",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-377-2358"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DE",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001185561",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackbird Landing Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Townsend, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.