NPIMap

Organization Active NPI

Christian Community Placement Center

Doing business as Connections365

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1174698971
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRISTIAN COMMUNITY PLACEMENT CENTER
Doing business as
Connections365
Practice address
4890 32ND Ave SE
Salem, OR 97317
Phone
(503) 588-5647
Fax
(503) 779-1992
NPI assigned
Nov 21, 2006
Last updated
May 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Debohra Ann Lute
Title
Executive Director
Phone
(503) 588-5647

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OR Primary
Foster Care Agency 253J00000X 0056 OR
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X OR

Addresses

Primary practice location

4890 32ND Ave SE
Salem, OR 97317

Mailing address

4890 32ND Ave SE
Salem, OR 97317
Phone (503) 588-5647

Other practice location 1

3340 Commercial St SE Ste 110
Salem, OR 97302-3863
Phone (503) 588-5647

Other identifiers 1

IdentifierTypeStateIssuer
240040MedicaidOR

Other names 1

  • Connections365 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Community Placement Center2 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.

Locations

3340 Commercial St SE
Ste 110
Salem, OR 97302
Phone (503) 588-5647

4890 32nd Ave SE
Salem, OR 97317
Phone (503) 588-5647

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1174698971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 32ND AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97317",
            "telephone_number": "503-588-5647",
            "fax_number": "503-588-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 32ND AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97317",
            "telephone_number": "503-588-5647",
            "fax_number": "503-779-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Commercial St SE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973023863",
            "country_code": "US",
            "telephone_number": "503-588-5647",
            "fax_number": "503-990-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY PLACEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "LUTE",
        "authorized_official_first_name": "DEBOHRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-588-5647"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "OR",
            "license": "0056",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240040",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connections365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.