Active NPI
Community Connections South Central
- Developmentally Disabled Services Day Training Agency
- Twin Falls, ID
National Provider Identifier
1962889055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- COMMUNITY CONNECTIONS SOUTH CENTRAL
- Practice address
- 212 2ND Ave W
#102 & 104
Twin Falls, ID 83301-6016 - Phone
- (208) 733-0655
- Fax
- (208) 733-1389
- NPI assigned
- Apr 28, 2015
- 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
- Tiffani Snelling
- Title
- President
- Phone
- (208) 377-9814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
212 2ND Ave W
#102 & 104
Twin Falls, ID 83301-6016
Mailing address
1675 S Maple Grove Rd
Boise, ID 83709-2531
Phone (208) 377-9814
National Provider Directory
National Provider DirectoryLocations
1675 S Maple Grove Rd
Boise, ID 83709
212 2nd Ave W
Ste 102
Twin Falls, ID 83301
Phone (208) 733-0655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430179200000",
"number": "1962889055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 S MAPLE GROVE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092531",
"telephone_number": "208-377-9814",
"fax_number": "208-375-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 2ND AVE W",
"address_2": "#102 & 104",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016016",
"telephone_number": "208-733-0655",
"fax_number": "208-733-1389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CONNECTIONS SOUTH CENTRAL",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A",
"authorized_official_last_name": "SNELLING",
"authorized_official_first_name": "TIFFANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-377-9814"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.