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STATE OF CT.-OFFICE OF THE COMPTROLLER NPI 1902942188


NPI Information

NPI: 1902942188
Provider Name: STATE OF CT.-OFFICE OF THE COMPTROLLER

Doing Business As: STS COTTAGE 18 CONSTITUTION HILL/PURCHASE BROOK HOUSE

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
1461 SOUTH BRITAIN ROAD
SOUTHBURY, CT
ZIP 06488
Phone: (203) 586-2000
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STATE OF CT.-OFFICE OF THE COMPTROLLER is an intermediate care facility mentally retarded in Southbury, 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. 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C00793OTHERCONNECTICUTMEDICARE ID - TYPE UNSPECIFIED
2006782389MEDICAIDCONNECTICUT

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

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