COMMUNITY SUBSTANCE ABUSE CENTERS INC. NPI 1487637724

NPI Information

  • NPI: 1487637724
  • Provider Name: COMMUNITY SUBSTANCE ABUSE CENTERS, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: HEALTH CARE RESOURCE CENTERS
  • Address: 55 FISHFRY ST
    HARTFORD, CT
    ZIP 06120
  • Phone: (860) 247-8300

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NPI Details

COMMUNITY SUBSTANCE ABUSE CENTERS, INC. is a rehabilitation and substance use disorder clinic center in Hartford, CT. COMMUNITY SUBSTANCE ABUSE CENTERS, INC. NPI is 1487637724. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Care Resource Centers.

The provider's business location address is:

55 FISHFRY ST
HARTFORD, CT
ZIP 06120-203
Phone: (860) 247-8300
Fax: (860) 548-7325

The provider's authorized official is Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/29/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
3164W00000XLicensed Practical NurseNo
4207RA0401XInternal MedicineAddiction MedicineNo
5261QM2800XClinic/CenterMethadoneNo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004175718MEDICAIDCONNECTICUT
2004141074MEDICAIDCONNECTICUT

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: 3/30/2025

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