Blackbird Landing Group Home

LBN: Connections Csp, Inc.
Blackbird Landing Group Home is an health care organization with primary practice located at 994 Blackbird Landing Rd , Townsend DE 19734-9141. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Connections Csp, Inc. can be contacted via phone (302) 659-0512, or through Hicks, Jevon Z via phone (302) 377-2358.

Contact Information

Primary practice address
994 Blackbird Landing Rd Townsend DE 19734-9141
Phone: (302) 659-0512
Fax: (302) 659-3949
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Jevon Z
Phone: (302) 377-2358

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1518 Delaware

Profile Details

NPI number 1053470260
LBN Legal business name Connections Csp, Inc.
DBA Doing business as Blackbird Landing Group Home
Authorized official Hicks, Jevon Z
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053470260 NPPES
Delaware MEDICAID 0001185561

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