Organization Active NPI

Community Smart, Inc.

  • Community/Behavioral Health Agency
  • Florissant, CO
National Provider Identifier
1649505215
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY SMART, INC.
Practice address
205 Phoebus Dr
Florissant, CO 80816-9509
Phone
(866) 236-2411
Fax
(866) 236-2411
NPI assigned
Oct 14, 2009
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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 OF SCIENCE
Title
Executive Director
Phone
(866) 236-2411

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1649505215",
    "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": "866-236-2411",
            "fax_number": "866-236-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SMART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "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": "866-236-2411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BACHELOR OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 14, 2009; 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.