MEDICARE: COMMUNITY CONNECT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1417394347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CONNECT, INC.

Provider Business Mailing Address
First Line	:	5070 VEGAS VALLEY DR
Second Line	:	# 6201703
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-2556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5070 VEGAS VALLEY DR
Second Line	:	# 6201703
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-2556
Country	:	US
Telephone Number	:	702-290-7086
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MICHAEL DEON THROWER
Credential	:
Telephone Number	:	702-290-7086

Provider Enumeration Date	:	06/01/2013
Last Update Date	:	06/01/2013

Similar Medicare Providers

1881031714 — MICHAEL DEON THROWER
Practice Location Address:

5070 VEGAS VALLEY DR , # 621703
LAS VEGAS, NV
89142-2556

Practice Phone: 702-290-7086
Practice Fax:

1568260701 — RAUNA HILL
Practice Location Address:

5070 VEGAS VALLEY DR
LAS VEGAS, NV
89142-2556

Practice Phone: 702-881-2891
Practice Fax:

1063420701 — DR. KIARASH L MIRKIA MD
Practice Location Address:

5875 S RAINBOW BLVD STE 201
LAS VEGAS, NV
89118-2556

Practice Phone: 702-453-3799
Practice Fax: 702-453-5741

1508972431 — GEORGE P CHAMBERS JR. MD
Practice Location Address:

5875 S RAINBOW BLVD STE 201
LAS VEGAS, NV
89118-2556

Practice Phone: 702-463-0800
Practice Fax: 702-463-0801

1730414491 — CHAMBERS & ASSOCIATES OBGYN AND GYNECOLOGICAL SURGERY PLLC
Practice Location Address:

5875 S RAINBOW BLVD STE 201
LAS VEGAS, NV
89118-2556

Practice Phone: 702-463-0800
Practice Fax: 702-463-0801

1033447362 — KIARASH MIRKIA MD PC
Practice Location Address:

5875 S RAINBOW BLVD STE 201
LAS VEGAS, NV
89118-2556

Practice Phone: 702-889-6292
Practice Fax: 702-954-4591

Directions to “COMMUNITY CONNECT, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.