Allied Community Connections, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ALLIED COMMUNITY CONNECTIONS, LLC

Practice address

1546 Quail Trace Dr
Missouri City, TX 77489-5252

Phone

(832) 316-1182

Fax

(866) 855-6282

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Tommie Demond Burrell, LMSWNPI 1417716986

Title

Program Manager

Phone

(832) 316-1182

Specialties & licenses 1

Addresses

Other names 1

• Allied Community Connections, LLC Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tommie Demond Burrell, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1417716986
  NPD Authorized official
• Keamak Denise Smith

  • Driver
  • Houston, TX
  • NPI 1457978132
  NPD

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1881219012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 NORTH FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603287",
            "telephone_number": "832-316-1182",
            "fax_number": "866-855-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 QUAIL TRACE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895252",
            "telephone_number": "832-316-1182",
            "fax_number": "866-855-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED COMMUNITY CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_middle_name": "DEMOND",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "832-316-1182",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Community Connections, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.