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STATE OF CT.-OFFICE OF THE COMPTROLLER NPI 1609920800


NPI Information

NPI: 1609920800
Provider Name: STATE OF CT.-OFFICE OF THE COMPTROLLER

Doing Business As: WEST REGION-LFC BLDG 3

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
146 SILVERMINE AVE
NORWALK, CT
ZIP 06850
Phone: (203) 846-9531
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STATE OF CT.-OFFICE OF THE COMPTROLLER is an intermediate care facility mentally retarded in Norwalk, CT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF CT.-OFFICE OF THE COMPTROLLER NPI is 1609920800. The provider is registered as an organization entity type.
The provider Is Doing Business As West Region-lfc Bldg 3.

The provider's business location address is:

146 SILVERMINE AVE
NORWALK, CT
ZIP 06850-032
Phone: (203) 846-9531

The provider's authorized official is Crescentino Secchiaroli .
The authorized official title is Fiscal Administrator and has the following contact phone number (860) 418-8712.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1006742068MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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