Community Connections Residential Services Inc

LBN: Community Connections Residential Services Inc
Community Connections Residential Services Inc is an health care organization with primary practice located at 2310 N Centennial St Suite 102, High Point NC 27265-3136. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Community Connections Residential Services Inc can be contacted via phone (336) 884-4118, or through Shaw, Darien J via phone (336) 884-4118.

Contact Information

Primary practice address
2310 N Centennial St Suite 102 High Point NC 27265-3136
Phone: (336) 884-4118
Fax: (336) 884-1519
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Darien J
Phone: (336) 884-4118

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 041-797 North Carolina
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1336205392
LBN Legal business name Community Connections Residential Services Inc
DBA Doing business as
Authorized official Shaw, Darien J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336205392 NPPES
North Carolina MEDICAID 7805623

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