Community Connections for Life, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMMUNITY CONNECTIONS FOR LIFE, INC

Practice address

18441 NE 2 Ave Suite 505
Miami Gardens, FL 33169

Phone

(786) 657-3276

Fax

(786) 565-9193

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Tonya Lynn Robinson, BS

Title

Director

Phone

(786) 657-3276

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Wyatt Lazarus, CTRS

  • Recreation Therapist
  • Miami Gardens, FL
  • NPI 1821752460
  NPD (past)
• Betty Smith, RN

  • Psychiatric/Mental Health Registered Nurse
  • Miami Gardens, FL
  • NPI 1841889755
  NPD (past)
• Joshua Hernandez, PHD, LMFT

  • Marriage & Family Therapist
  • Durham, NC
  • NPI 1770161572
  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275955577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE STE 505",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694562",
            "telephone_number": "786-657-3276",
            "fax_number": "786-565-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NE 2 AVE SUITE 505",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-657-3276",
            "fax_number": "786-565-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS FOR LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-657-3276",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016455000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010882700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Health Group LLC.
• Comfort Longevity Kinder L.L.C.
• Comfort Longevity Kinder L.L.C.
• Comfort Mental Health LLC
• Community Connections for Life
• Companions United LLC
• Jeissa Lizandra Concepcion, PHARMD
• Lilianne Concepcion
• Luis Vicente Concepcion, DO
• Yanelis Concepcion

• All providers in Miami Gardens, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.