Provider Demographics
NPI:1295191641
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:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-399-0065
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 1:870 W 4TH ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:AZ
Practice Address - Zip Code:85602
Practice Address - Country:US
Practice Address - Phone:520-686-9436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7455251S00000X
AZOTC6210251S00000X
AZOTC6312251S00000X
AZOTC6234251S00000X
AZOTC6403251S00000X
AZOTC7341251S00000X
AZBH3764385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Yes251S00000XAgenciesCommunity/Behavioral Health