Organization
CONNECTION HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TALIA CHEREESE JACOBS (CEO)
(813) 263-7341
Entity
Organization
Contact information
Practice address
2700 N MACDILL AVE STE 116, TAMPA, FL 33607-2284
(813) 773-8400
(813) 525-9687
Mailing address
PO BOX 10192, TAMPA, FL 33679-0192
(813) 263-7341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/15/2021
Last updated
02/13/2023
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