Community Based Connections, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY BASED CONNECTIONS, INC.

Practice address

1021 NW 6TH St
Fort Lauderdale, FL 33311-8055

Phone

(954) 908-5249

Fax

(954) 524-2119

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikelange Olbel, MS

Title

Ceo

Phone

(954) 908-5249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1255004057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NW 6TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118055",
            "telephone_number": "954-908-5249",
            "fax_number": "954-524-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NW 6TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118055",
            "telephone_number": "954-908-5249",
            "fax_number": "954-524-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "OLBEL",
        "authorized_official_first_name": "MIKELANGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-908-5249",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.