Organization Active NPI

Community Assistance Program and Services LLC

  • Case Management Agency
  • Jackson, MI
National Provider Identifier
1760606495
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6802080674 Issued in MI
Legal business name
COMMUNITY ASSISTANCE PROGRAM AND SERVICES LLC
Practice address
933 Lansing Avenue
Jackson, MI 49202-3215
Phone
(517) 788-6840
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Konnie Hansen
Title
Owner Case Manager
Phone
(517) 788-6840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6802080674 MI Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X 6802080674 MI

Addresses

Primary practice location

933 Lansing Avenue
Jackson, MI 49202-3215

Mailing address

933 Lansing Avenue
Jackson, MI 49202-3215
Phone (517) 788-6840

Other identifiers 1

IdentifierTypeStateIssuer
1016019MedicaidMI

National Provider Directory

National Provider Directory

Locations

933 Lansing Ave
Jackson, MI 49202
Phone (517) 788-6840

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760606495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 LANSING AVENUE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023215",
            "telephone_number": "517-788-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LANSING AVENUE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023215",
            "telephone_number": "517-788-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSISTANCE PROGRAM AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KONNIE",
        "authorized_official_title_or_position": "OWNER CASE MANAGER",
        "authorized_official_telephone_number": "517-788-6840"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802080674",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6802080674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.