COMMUNITY CONNECTIONS FAMILY LIFE CENTER LLC


Address: 622 N Hamilton St, Suite 104, High Point, NC 27262-4076
Phone: 3362531268

COMMUNITY CONNECTIONS FAMILY LIFE CENTER LLC (NPI# 1992005805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992005805
Entity Type Organization
Organization Name COMMUNITY CONNECTIONS FAMILY LIFE CENTER LLC
Practice Address 622 N Hamilton St
Suite 104
High Point
NC 27262-4076
Mailing Address Po Box 47
High Point
NC 27261-0047
Practice Telephone 3362531268
Mailing Telephone 3368847179
Mailing Fax Number 3368847189
Enumeration Date 2010-10-26
Last Update Date 2011-03-04
Authorized Official Name LETONYA SHAW (DIRECTOR)
Authorized Official Telephone 3362531268
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 251S00000X Community/Behavioral Health Agencies
N 252Y00000X Early Intervention Provider Agency Agencies
N 133NN1002X Nutritionist
Specialization: Nutrition, Education
NC Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered NC Dietary & Nutritional Service Providers
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336423540 Community Connections Family Life Center LLC Early Intervention Provider Agency 622 N Hamilton St, Suite 104, High Point, NC 27262-4076 2011-10-06

Office Location

Street Address 622 N HAMILTON ST
SUITE 104
City HIGH POINT
State NC
Zip Code 27262-4076

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336423540 Community Connections Family Life Center LLC Early Intervention Provider Agency 622 N Hamilton St, Suite 104, High Point, NC 27262-4076 2011-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821623620 Lane and Associates Xxxviii Dds Pa Dentist 101 Northpoint Avenue, High Point, NC 27262 2020-03-12
1043869936 Norma Mechelle Cox Technician 1145 Hawick Dr, High Point, NC 27262 2019-09-04
1417514910 Jennifer A. Loveland Dmd II Pllc Dentist 1007 Phillips Avenue, Suite 103, High Point, NC 27262 2019-05-21
1982175196 World Relief Corp of National Association of Evangelicals Marriage & Family Therapist 155 Northpoint Avenue, Suite 102, High Point, NC 27262 2018-12-16
1538679907 Zackary Daniel Rogers Physician Assistant 1814 Westchester Dr #301, High Point, NC 27262 2017-10-11
1184164162 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2005 N Main St., Suite 101, High Point, NC 27262 2017-02-24
1225483951 Randall Godette Physician Assistant 611 Lindsay Street, High Point, NC 27262 2016-05-02
1336537356 Optics, Inc. Durable Medical Equipment & Medical Supplies 1105 Lindsay Street, High Point, NC 27262 2014-12-29
1871902346 Isha Bangura Counselor 910 Mill Ave., High Point, NC 27262 2014-08-08
1831478833 Jenny Susan Mason Specialist/Technologist 922 West College Dr, High Point, NC 27262 2011-08-08
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295287100 Home Town Health Hub, LLC Preventive Medicine 3755 Admiral Dr, Suite 101, High Point, NC 27265-1553 2016-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629445325 Tonya Blache Preventive Medicine 1117 Chilmark Ave, Wake Forest, NC 27587-5334 2015-08-28
1366821191 Health Hero Usa LLC Preventive Medicine 7845 Colony Rd, Suite C4 #262, Charlotte, NC 28226-7681 2015-05-26
1467696807 Thomas Warden Morris Preventive Medicine 514 Daniels St, Suite 187, Raleigh, NC 27605-1317 2009-04-29
1922246065 Peter Delaney Morris Preventive Medicine 2020 Yonkers Rd, Raleigh, NC 27699-0001 2009-01-28
1114196920 Dianne Seaman Mathews Preventive Medicine 7601 Radin Rd, Clinic, Waxhaw, NC 28173-9158 2008-02-26
1891981247 Charles Timothy Monroe Preventive Medicine 799 N Highland Ave, Winston Salem, NC 27102-0686 2007-09-19
1629283718 Sharon Lee Norling Preventive Medicine 1507 Haywood Rd Ste E, Hendersonville, NC 28791-2333 2007-05-11
1982652558 John Thomas Ashley Preventive Medicine 81 Horizon Hill Rd, Asheville, NC 28804-2429 2006-05-05
1679530752 David F. Ward Preventive Medicine 35 W Jordan St, Brevard, NC 28712-3675 2006-05-01
1588225759 Wakemed Specialists Group, LLC Preventive Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
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Competitor

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City HIGH POINT
Zip Code 27262

Improve Information

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Dataset Information

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.

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