Community Connection, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMMUNITY CONNECTION, LLC

Practice address

11300 W 175TH St
Olathe, KS 66062-9468

Phone

(913) 851-2617

Fax

(913) 851-2617

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By 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

Mrs. Marcelyn Roe

Title

Owner/Director

Phone

(913) 851-2617

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Connection 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 Connection, LLC

  • Case Management Agency
  • Olathe, KS
  • NPI 1790821874
  NPD tax ID

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1407283583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 W 175TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629468",
            "telephone_number": "913-851-2617",
            "fax_number": "913-851-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 W 175TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629468",
            "telephone_number": "913-851-2617",
            "fax_number": "913-851-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "MARCELYN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "913-851-2617",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375770B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Coleman
• Sarah Colen
• Angel Felipe Colon
• Danielle Comford
• Amber Commer, T-LMSW
• Community Connection, LLC
• Community Treatment Services, LLC (Hall & Associaties)
• Complete Care Chiropractic KC, LLC
• Comprehensive Neurology, Chartered
• Daniella Concha, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Olathe, KS
• Providers in Olathe, KS by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.