Provider Demographics
NPI:1144314857
Name:CONNECTIONS PLUS, LLC
Entity type:Organization
Organization Name:CONNECTIONS PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:E.
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:505-897-7154
Mailing Address - Street 1:PO BOX 66717
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87193
Mailing Address - Country:US
Mailing Address - Phone:505-897-7154
Mailing Address - Fax:505-890-1055
Practice Address - Street 1:5821 AVE LA MIRADA NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114
Practice Address - Country:US
Practice Address - Phone:505-897-7154
Practice Address - Fax:505-890-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate Vehicle
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM30682711Medicaid
NMA0629Medicaid