Provider Demographics
NPI:1124494240
Name:CARING CONNECTIONS FOR SPECIAL NEEDS, LLC
Entity type:Organization
Organization Name:CARING CONNECTIONS FOR SPECIAL NEEDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY/COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DWORNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-221-2850
Mailing Address - Street 1:921 S PRUDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-5020
Mailing Address - Country:US
Mailing Address - Phone:520-639-9006
Mailing Address - Fax:520-721-6991
Practice Address - Street 1:7447 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6428
Practice Address - Country:US
Practice Address - Phone:520-639-9006
Practice Address - Fax:520-721-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
AZOTC6312251S00000X
AZOTC6234251S00000X
AZOTC6403251S00000X
AZBH3764385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1750791836OtherNPI - PAYSON
AZ1174933246OtherNPI - DOUGLAS
AZ1356765051OtherNPI - SIERRA VISTA
AZ1255517587OtherNPI
AZ1588962344OtherNPI - BENSON LVL III
AZ1457774465OtherNPI - SAFFORD