Healthcare Provider Details

I. General information

NPI: 1245440692
Provider Name (Legal Business Name): COMMUNITY CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 N MAPLE GROVE RD
BOISE ID
83704-8239
US

IV. Provider business mailing address

296 N MAPLE GROVE RD
BOISE ID
83704-8239
US

V. Phone/Fax

Practice location:
  • Phone: 208-377-9814
  • Fax: 208-375-5803
Mailing address:
  • Phone: 208-377-9814
  • Fax: 208-375-5803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number4COMMCN106
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number4COMMCN106
License Number StateID

VIII. Authorized Official

Name: MRS. TIFFANI G SNELLING
Title or Position: OWNER
Credential:
Phone: 208-377-9814