Active NPI
Community Smart, Inc.
- Case Management Agency
- Florissant, CO
National Provider Identifier
1588942734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMUNITY SMART, INC.
- Practice address
- 205 Phoebus Dr
Florissant, CO 80816-9509 - Phone
- (719) 748-7075
- Fax
- (866) 236-2411
- NPI assigned
- Jul 21, 2011
- Last updated
- Jul 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Annette Ok Hee Stahuljak, BACHELOR DEGREE
- Title
- Executive Director
- Phone
- (719) 748-7075
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
205 Phoebus Dr
Florissant, CO 80816-9509
Mailing address
PO Box 7036
Woodland Park, CO 80863-0036
Phone (866) 236-2411
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311206400000",
"number": "1588942734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7036",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808630036",
"telephone_number": "866-236-2411",
"fax_number": "866-236-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PHOEBUS DR",
"city": "FLORISSANT",
"state": "CO",
"postal_code": "808169509",
"telephone_number": "719-748-7075",
"fax_number": "866-236-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SMART, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A",
"authorized_official_last_name": "STAHULJAK",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "OK HEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "719-748-7075",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BACHELOR DEGREE"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.