EASTER SEAL REHABILITATION CENTER NPI 1497863658

NPI Information

NPI: 1497863658
Provider Name: EASTER SEAL REHABILITATION CENTER

Other Name: EASTER SEALS WATERBURY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
22 TOMPKINS ST
WATERBURY, CT
ZIP 06708
Phone: (203) 574-5141
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EASTER SEAL REHABILITATION CENTER is a rehabilitation clinic center in Waterbury, CT. EASTER SEAL REHABILITATION CENTER NPI is 1497863658. The provider is registered as an organization entity type.
The provider Other Name Is Easter Seals Waterbury.

The provider's business location address is:

22 TOMPKINS ST
WATERBURY, CT
ZIP 06708-417
Phone: (203) 574-5141
Fax: (202) 757-1198

The provider's authorized official is Loraine Shea .
The authorized official title is President and has the following contact phone number (203) 754-5141.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 7/27/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QR0400X	Clinic/Center	Rehabilitation			Yes

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
1	246000	OTHER	CONNECTICUT	CONNECTICARE-AUDIOLOGY
2	04731	OTHER	CONNECTICUT	HEARUSA-AUDIOLOGY
3	5617574	OTHER	CONNECTICUT	AETNA-AUDIOLOGY
4	076582	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
5	004015061	MEDICAID	CONNECTICUT
6	296184	OTHER	CONNECTICUT	WELLCARE
7	800009105CT01	OTHER	CONNECTICUT	BLUE CROSS BLUE SHIELD
8	3561698	OTHER	CONNECTICUT	AETNA-AUDIOLOGY
9	68BT03016CT01	OTHER	CONNECTICUT	BCBS-BIRTH TO THREE
10	017500	OTHER	CONNECTICUT	CONNECTICARE-AUDIOLOGY
11	12DME0601CT01	OTHER	CONNECTICUT	BCBS-DME
12	185832	OTHER	CONNECTICUT	PREFERRED ONE-HUSKY
13	OR2189	OTHER	CONNECTICUT	HEALTHNET
14	43MDE0003CT01	OTHER	CONNECTICUT	BLUE CROSS BLUE SHIELD
15	=========	OTHER	CONNECTICUT	COMMUNITY HEALTH NETWORK
16	04154	OTHER	CONNECTICUT	HEARUSA-AUDIOLOGY
17	004039657	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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