Organization Active NPI

CPR Connection LLC

  • Developmentally Disabled Services Day Training Agency
  • Mansfield, TX
National Provider Identifier
1992240667
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CPR CONNECTION LLC
Practice address
752 N Main St Unit 1880
Mansfield, TX 76063-3644
Phone
(188) 869-7167
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Isatou Jawara
Title
Administrator
Phone
(888) 697-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

752 N Main St Unit 1880
Mansfield, TX 76063-3644

Mailing address

752 N Main St Unit 1880
Mansfield, TX 76063-3644

National Provider Directory

National Provider Directory

Locations

752 N Main St
Unit 1880
Mansfield, TX 76063

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1992240667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1880",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1880",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633644",
            "telephone_number": "188-869-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPR CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "JAWARA",
        "authorized_official_first_name": "ISATOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "18886971672"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.