Provider Demographics
NPI:1104053404
Name:RESPITE CONNECTIONS, INC.
Entity type:Organization
Organization Name:RESPITE CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-890-4357
Mailing Address - Street 1:5250 STRAWBERRY FARMS BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1049
Mailing Address - Country:US
Mailing Address - Phone:614-890-4357
Mailing Address - Fax:614-890-4412
Practice Address - Street 1:5250 STRAWBERRY FARMS BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1049
Practice Address - Country:US
Practice Address - Phone:614-774-1120
Practice Address - Fax:614-899-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2517708Medicaid