Organization Active NPI

Community Connections of Moniteau County, Inc.

  • Case Management Agency
  • California, MO
National Provider Identifier
1629513015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
00 Issued in MO
Legal business name
COMMUNITY CONNECTIONS OF MONITEAU COUNTY, INC.
Practice address
320 South Oak Street
California, MO 65018-1824
Phone
(573) 645-0968
Fax
(573) 796-2041
NPI assigned
Dec 21, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jane Jane Blank, M. ED.
Title
Director
Phone
(573) 645-0968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 00 MO Primary

Addresses

Primary practice location

320 South Oak Street
California, MO 65018-1824

Mailing address

320 South Oak Street
California, MO 65018-1824
Phone (573) 645-0968

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629513015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTH OAK STREET",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181824",
            "telephone_number": "573-645-0968",
            "fax_number": "573-796-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTH OAK STREET",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181824",
            "telephone_number": "573-645-0968",
            "fax_number": "573-796-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS OF MONITEAU COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-645-0968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": "00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.