Organization Active NPI

Tracy Community Connections Center

  • Case Manager/Care Coordinator
  • Tracy, CA
National Provider Identifier
1508594938
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TRACY COMMUNITY CONNECTIONS CENTER
Practice address
95 W 11TH St Ste 206
Tracy, CA 95376-3961
Phone
(209) 407-9649
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Caroline Grover
Title
Ceo
Phone
(209) 407-9649

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Lodging Provider 177F00000X
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

95 W 11TH St Ste 206
Tracy, CA 95376-3961

Mailing address

PO Box 1215
Tracy, CA 95378-1215
Phone (209) 407-9649

National Provider Directory

National Provider Directory

Locations

95 W 11th St
Ste 206
Tracy, CA 95376
Phone (209) 407-9649

324 E 11th St
Ste B1
Tracy, CA 95376

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1508594938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953781215",
            "telephone_number": "209-407-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W 11TH ST STE 206",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763961",
            "telephone_number": "209-407-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY COMMUNITY CONNECTIONS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-407-9649"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.