Provider Demographics
NPI:1285491720
Name:COMMUNITY CONNECTIONS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:COMMUNITY CONNECTIONS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:SOJA
Authorized Official - Last Name:DOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-232-9497
Mailing Address - Street 1:7539 CLEMSON CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7230
Mailing Address - Country:US
Mailing Address - Phone:240-232-9497
Mailing Address - Fax:
Practice Address - Street 1:7539 CLEMSON CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7230
Practice Address - Country:US
Practice Address - Phone:240-232-9497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care