NPIMap

Organization Active NPI

Community Connections Residential Services Inc

  • Respite Care
  • High Point, NC
National Provider Identifier
1336205392
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
COMMUNITY CONNECTIONS RESIDENTIAL SERVICES INC
Practice address
2310 N Centennial St
Suite 102
High Point, NC 27265-3136
Phone
(336) 884-4118
Fax
(336) 884-1519
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Darien J Shaw
Title
Dir Residential Services
Phone
(336) 884-4118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 041-797 NC
Respite Care 385H00000X Primary

Addresses

Primary practice location

2310 N Centennial St
Suite 102
High Point, NC 27265-3136

Mailing address

2310 N Centennial St
Suite 102
High Point, NC 27265-3136
Phone (336) 884-4118

Other identifiers 1

IdentifierTypeStateIssuer
7805623MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Connections Residential Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336205392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CENTENNIAL ST",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653136",
            "telephone_number": "336-884-4118",
            "fax_number": "336-884-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CENTENNIAL ST",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653136",
            "telephone_number": "336-884-4118",
            "fax_number": "336-884-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DARIEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIR RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "336-884-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "041-797",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805623",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.