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COMMUNITY RESIDENCES INC. NPI 1902029341


NPI Information

NPI: 1902029341
Provider Name: COMMUNITY RESIDENCES, INC.
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 07D0868505

Address:
90 FARMINGTON AVE
PLAINVILLE, CT
ZIP 06062
Phone: (860) 621-7600
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COMMUNITY RESIDENCES, INC. is an intermediate care facility mentally retarded in Plainville, CT. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. COMMUNITY RESIDENCES, INC. NPI is 1902029341. The provider is registered as an organization entity type.

The provider's business location address is:

90 FARMINGTON AVE
PLAINVILLE, CT
ZIP 06062-729
Phone: (860) 621-7600
Fax: (860) 621-2228

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

The CLIA number assigned to this NPI record is 07D0868505 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedR-599CONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.