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General NPI Number Information
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NPI Number | 1255517587
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Entity Type | Organization
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Legal Business Name | CARING CONNECTIONS FOR SPECIAL NEEDS, LLC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 870 W 4TH ST
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City | BENSON
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State | AZ
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Zip | 85602-6437
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Country | US
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Telephone | 520-639-9006
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Fax | 520-721-6991
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Provider Business Mailing Address
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Address Line | 7447 E 22ND ST
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City | TUCSON
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State | AZ
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Zip | 85710-6428
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Country | US
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Telephone | 520-639-9006
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Fax | 520-721-6991
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | REX GLENN
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Credential |
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Telephone | 520-686-0884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | BH3764
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | BH3764
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License Number State | AZ
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