Provider Demographics
NPI:1962251298
Name:CONNECTIONS CARE HOME CONSULTANTS LLC
Entity type:Organization
Organization Name:CONNECTIONS CARE HOME CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-330-5993
Mailing Address - Street 1:211 NW 187TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3288
Mailing Address - Country:US
Mailing Address - Phone:800-330-5993
Mailing Address - Fax:
Practice Address - Street 1:1763 E SANDALWOOD DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5353
Practice Address - Country:US
Practice Address - Phone:800-330-5993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management