FAROOQ DADA LLC NPI 1740528967

NPI Information

NPI: 1740528967
Provider Name: FAROOQ DADA LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2275 SILAS DEANE HWY
ROCKY HILL, CT
ZIP 06067
Phone: (860) 523-9426
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FAROOQ DADA LLC is a mental health (including community mental health center) clinic center in Rocky Hill, CT. FAROOQ DADA LLC NPI is 1740528967. The provider is registered as an organization entity type.

The provider's business location address is:

2275 SILAS DEANE HWY
ROCKY HILL, CT
ZIP 06067-329
Phone: (860) 523-9426

The provider's authorized official is Mohammad Farooq Dada .
The authorized official title is Physician and has the following contact phone number (860) 523-9426.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 8/12/2015.

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	283Q00000X	Psychiatric Hospital		040063	CONNECTICUT	No
2	314000000X	Skilled Nursing Facility		040063	CONNECTICUT	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	040063	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	001400639	MEDICAID	CONNECTICUT
2	260004451	MEDICARE PIN	CONNECTICUT
3	100881	MEDICARE UPIN	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

NPI Synchronization or Removal

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