Organization Active NPI

Community Smart, Inc.

  • Case Management Agency
  • Florissant, CO
National Provider Identifier
1588942734
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.