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Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Munroe Falls, OH

NPI 1235563370 · NPPES record last updated Aug 26, 2013

Key facts

NPI
1235563370
Entity type
Organization (NPI type 2)
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Legal business name
COMMUNITY CONNECTIONS
Practice address
101 Trudy Ave
Munroe Falls, OH 44262-1012
Phone
(330) 431-2953
NPI assigned
Aug 26, 2013
Organization subpart
No

Authorized official

Name
Mrs. Robin Renee Bacola
Title
Owner
Phone
(330) 431-2953

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X OH Yes

Addresses

Primary practice location

101 Trudy Ave
Munroe Falls, OH 44262-1012

Mailing address

101 Trudy Ave
Munroe Falls, OH 44262-1012
Phone (330) 431-2953

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2013.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1235563370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TRUDY AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621012",
            "telephone_number": "330-431-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TRUDY AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621012",
            "telephone_number": "330-431-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "BACOLA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-431-2953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munroe Falls, OH

All providers in Munroe Falls, OH · Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

Sources for this page

Verify at the official NPI Registry.