Community Connections Family Life Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

8303323 Issued in NC

Legal business name

COMMUNITY CONNECTIONS FAMILY LIFE CENTER LLC

Practice address

622 N Hamilton St
Suite 104
High Point, NC 27262-4076

Phone

(336) 884-7179

Fax

(336) 884-7189

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Letonya Shaw

Title

Directoe

Phone

(336) 884-7179

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Connections Family Life Center LLC2 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.

• Community Connections Family Life Center LLC

  • Public Health & General Preventive Medicine Physician
  • High Point, NC
  • NPI 1992005805
  NPD tax ID

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1336423540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N HAMILTON ST",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624076",
            "telephone_number": "336-884-7179",
            "fax_number": "336-884-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N HAMILTON ST",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624076",
            "telephone_number": "336-884-7179",
            "fax_number": "336-884-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS FAMILY LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LETONYA",
        "authorized_official_title_or_position": "DIRECTOE",
        "authorized_official_telephone_number": "336-884-7179"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "8303323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice M Combs, RN, BSN
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• Comfort Zone in Home Care
• Comfort Zone in-Home Care
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• Community Connections Family Life Center LLC
• Community Connections Residential Services Inc
• Community Connections Residential Services, Inc
• Community Connextions,Inc
• Companions on the Journey, Inc.

• Early Intervention Provider Agency in High Point, NC
• Providers in High Point, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.