COMMUNITY CONNECTIONS NORTH, INC. (NPI# 1871935064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871935064 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CONNECTIONS NORTH, INC. |
| Practice Address |
1230 N Northwood Center Ct Suite A Coeur D Alene ID 83814-4941 |
| Mailing Address |
1675 S Maple Grove Rd Boise ID 83709-2531 |
| Practice Telephone | 2086641065 |
| Practice Fax Number | 2087652258 |
| Mailing Telephone | 2083779814 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | MRS. BRENDA NEIGHBORS (OFFICE MANAGER) |
| Authorized Official Telephone | 2083779814 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CONNECTIONS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | DDA-3922 | ID | Agencies |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | RHA-3904 | ID | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | A0001084 | 05 |
| Street Address |
1230 N NORTHWOOD CENTER CT SUITE A |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234236 | Thrive Chiropractic Pllc | Chiropractor | 1230 N Northwood Center Ct, Coeur D Alene, ID 83814-4941 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688233 | Novitas Academy | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2625 N Plaza Rd, Emmett, ID 83617-9128 | 2017-02-13 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1548594328 | Home Again Icf | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2311 E Aruba Ave, Nampa, ID 83686-1292 | 2009-09-25 |
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1346791944 | Renewed Horizons, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8252 N Wayne Dr, Hayden, ID 83835-5029 | 2016-10-18 |
| 1811292915 | Pearl Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2011-01-20 |
| 1356577019 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1548496201 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1417163650 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| 1215143458 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.