Active NPI
Connecting With Community
- Developmentally Disabled Services Day Training Agency
- Colorado Springs, CO
National Provider Identifier
1811226905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CONNECTING WITH COMMUNITY
- Practice address
- 895 Columbine Ave
Colorado Springs, CO 80904-2782 - Phone
- (719) 634-3121
- NPI assigned
- Dec 18, 2009
- 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
- Byla Eisenstein
- Title
- Executive Director
- Phone
- (719) 634-3121
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | O4C449 | CO | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | O4C449 | CO |
Addresses
Primary practice location
895 Columbine Ave
Colorado Springs, CO 80904-2782
Mailing address
895 Columbine Ave
Colorado Springs, CO 80904-2782
Phone (719) 634-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86688383 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1811226905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 COLUMBINE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809042782",
"telephone_number": "719-634-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 COLUMBINE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809042782",
"telephone_number": "719-634-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTING WITH COMMUNITY",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-18",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "EISENSTEIN",
"authorized_official_first_name": "BYLA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "719-634-3121"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CO",
"license": "O4C449",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "CO",
"license": "O4C449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86688383",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.