Community Partnership Collaborative 2.0

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY PARTNERSHIP COLLABORATIVE 2.0

Doing business as

Community Partnership Collaborative 2.0

Practice address

3210 Oliver Ave N
Minneapolis, MN 55412-2316

Phone

(612) 483-0199

Fax

(612) 200-8655

NPI assigned

Feb 15, 2018

Last updated

Jul 27, 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

Shanasha Whitson, LICENSED SOCIAL WORK

Title

Executive Director

Phone

(612) 483-0199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Partnership Collaborative 2.0 Doing business as

Locations

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1396245387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 66TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282204",
            "telephone_number": "612-483-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 OLIVER AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122316",
            "telephone_number": "612-483-0199",
            "fax_number": "612-200-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Lyndale Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554113349",
            "country_code": "US",
            "telephone_number": "612-483-0199",
            "fax_number": "612-521-1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY PARTNERSHIP COLLABORATIVE 2.0",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "SHANASHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-483-0199",
        "authorized_official_credential": "LICENSED SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "24770",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Partnership Collaborative 2.0",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.