STATE OF CT.-OFFICE OF THE COMPTROLLER NPI 1902942188

NPI Information

NPI: 1902942188
Provider Name: STATE OF CT.-OFFICE OF THE COMPTROLLER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: STS COTTAGE 18 CONSTITUTION HILL/PURCHASE BROOK HOUSE
Address: 1461 SOUTH BRITAIN ROAD
SOUTHBURY, CT
ZIP 06488
Phone: (203) 586-2000

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NPI Details

STATE OF CT.-OFFICE OF THE COMPTROLLER is an intermediate care facility mentally retarded in Southbury, CT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF CT.-OFFICE OF THE COMPTROLLER NPI is 1902942188. The provider is registered as an organization entity type.
The provider Is Doing Business As Sts Cottage 18 Constitution Hill/purchase Brook House.

The provider's business location address is:

1461 SOUTH BRITAIN ROAD
SOUTHBURY, CT
ZIP 06488-139
Phone: (203) 586-2000
Fax: (203) 586-2700

The provider's authorized official is Crescentino Secchiaroli .
The authorized official title is Fiscal Administrator and has the following contact phone number (860) 418-8712.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 5/3/2016.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				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	C00793	OTHER	CONNECTICUT	MEDICARE ID - TYPE UNSPECIFIED
2	006782389	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: 3/30/2025

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