Organization Active NPI

Community Connections South Central

  • Developmentally Disabled Services Day Training Agency
  • Twin Falls, ID
National Provider Identifier
1962889055
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Apr 28, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.