COMMUNITY RESIDENCES INC. NPI 1104021658

NPI Information

  • NPI: 1104021658
  • Provider Name: COMMUNITY RESIDENCES, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 25 HONEY HILL RD
    CANAAN, CT
    ZIP 06018
  • Phone: (860) 824-7500

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NPI Details

COMMUNITY RESIDENCES, INC. is an intermediate care facility mentally retarded in Canaan, CT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY RESIDENCES, INC. NPI is 1104021658. The provider is registered as an organization entity type.

The provider's business location address is:

25 HONEY HILL RD
CANAAN, CT
ZIP 06018-005
Phone: (860) 824-7500

The provider's authorized official is Paul Rosin .
The authorized official title is Ezecutive Director and has the following contact phone number (860) 621-7600.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesR-1059CONNECTICUTYes

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: 11/21/2025

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