EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT INC. NPI 1639177926

NPI Information

NPI: 1639177926
Provider Name: EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
100 DEERFIELD RD
WINDSOR, CT
ZIP 06095
Phone: (860) 714-9500
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EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Windsor, CT. EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC. NPI is 1639177926. The provider is registered as an organization entity type.

The provider's business location address is:

100 DEERFIELD RD
WINDSOR, CT
ZIP 06095-252
Phone: (860) 714-9500
Fax: (860) 714-8555

The provider's authorized official is Allen S. Gouse .
The authorized official title is Executive Director and has the following contact phone number (860) 714-9501.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 12/7/2012.

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	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	074502	CONNECTICUT	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
1	074502	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT
2	004039632	MEDICAID	CONNECTICUT
3	C00848	MEDICARE PIN	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: 5/5/2024

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