Active NPIOrganization

Community Connect Ri LLC

Peer Specialist in Pawtucket, Rhode Island

NPI Number1639082159
Practice location
560 Mineral Spring Ave, Pawtucket, RI 02860-3363
Fax
—
Last updated
September 25, 2026

Community Connect Ri LLC is a healthcare organization based in Pawtucket, RI. Community Connect Ri LLC practices in Pawtucket, RI. The NPI Number for Community Connect Ri LLC is 1639082159. The current practice location address for Community Connect Ri LLC is 560 Mineral Spring Ave, Pawtucket, RI 02860-3363 and can be reached out via phone at 401-696-7090.

Provider Profile Details

NPI Number
1639082159
Provider Name
Community Connect Ri LLC
Provider Entity Type
Organization
Address
560 Mineral Spring Ave, Pawtucket, RI 02860-3363
Phone Number
401-696-7090
Primary Taxonomy
Peer Specialist · 175T00000X
Organization Subpart
No
Authorized Official
Zdahmond Dale, CPRS · Owner / Authorized Official · 401-696-7090
Provider Enumeration Date
September 25, 2026
Last Update Date
September 25, 2026
Certification Date
September 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
560 Mineral Spring Ave
Pawtucket, RI 02860-3363
Zip
02860-3363
Phone Number
401-696-7090
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
560 Mineral Spring Ave
Pawtucket, RI 02860-3363
City
Pawtucket
State
RI
Zip
02860-3363
Phone Number
401-696-7090

License Information

Taxonomy
Peer Specialist · 175T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Community Connect Ri LLC?

The NPI number of Community Connect Ri LLC is 1639082159. It was assigned on September 25, 2026 and is currently active in the NPPES registry.

What is the specialty of Community Connect Ri LLC?

Community Connect Ri LLC is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Community Connect Ri LLC practice?

The practice location is 560 Mineral Spring Ave, Pawtucket, RI 02860-3363. The office can be reached at 401-696-7090 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639082159 directly on the NPPES registry website.

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