Commonwealth Cummunity Recovery Division

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

S49769293 Issued in MA

Legal business name

COMMONWEALTH CUMMUNITY RECOVERY DIVISION

Doing business as

CCRD Inc.

Practice address

79 Thompson St
Springfield, MA 01109-3921

Phone

(617) 939-5417

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Paul Jones

Title

President

Phone

(888) 655-3004

Specialties & licenses 1

Addresses

Other names 1

• CCRD INC. Doing business as

Tax ID family

CCRD Inc2 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.

• Commonwealth Community Recovery Division Inc

  dba ccrd llc

  • Taxi
  • Springfield, MA
  • NPI 1558894261
  NPD tax ID

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1275928459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 THOMPSON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093921",
            "telephone_number": "617-939-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 THOMPSON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093921",
            "telephone_number": "617-939-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CUMMUNITY RECOVERY DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-655-3004"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": "S49769293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRD INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariana Colussi-Pelaez, MD
• Jaden William Colwell
• Commonpure LLC
• Commonwealth Clinical Alliance
• Commonwealth Community Recovery Division Inc (ccrd llc)
• Commonwealth Eyecare Professionals, LLC
• Commonwealth of Massachusets (DDS Springfield/Westfield Area Office)
• Commonwealthcare Alliance (No)
• Community Action Network, Inc.
• Community Chiropractic Care P.C.

• Non-emergency Medical Transport (VAN) in Springfield, MA
• Providers in Springfield, MA by specialty
• Non-emergency Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.