Provider Demographics
NPI:1992979116
Name:COMMUNITY CONNECTIONS PROGRAMS, INC
Entity type:Organization
Organization Name:COMMUNITY CONNECTIONS PROGRAMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-522-4304
Mailing Address - Street 1:1332 ORETHA CASTLE HALEY BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1220
Mailing Address - Country:US
Mailing Address - Phone:504-522-4304
Mailing Address - Fax:504-522-4305
Practice Address - Street 1:228 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3940
Practice Address - Country:US
Practice Address - Phone:985-730-9011
Practice Address - Fax:985-730-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14606563747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty