State Of Connecticut in Southbury - Intermediate Care Facility, Intellectual Disabilities
State Of Connecticut - NPI 1144366493
State Of Connecticut is a Intermediate Care Facility, Intellectual Disabilities in Southbury, Connecticut. State Of Connecticut practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Connecticut is 1144366493. The last update date is 2020-01-15.
State Of Connecticut's current location address is Po Box 872, Southbury, Connecticut. You can contact this provider via phone number 2035862602 and fax number 2035862700. The mailing address for State Of Connecticut is Po Box 872, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Connecticut |
|---|---|
| Address | Po Box 872, Southbury, Connecticut |
| Phone Number | 2035862602 |
| Fax Number | 2035862700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Harvey Eugene |
| Telephone Number | 2035862466 |
NPI Number Detail
| NPI Number | 1144366493 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-01-15 |
Provider Mailing Address Detail
| Address | Po Box 872 |
|---|---|
| City | Southbury |
| State | Connecticut (CT) |
| Post Code | 64880901 |
| Phone Number | 2035862602 |
| Fax Number | 2035862700 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C00793 | CT | MEDICARE ID - TYPE UNSPECIFIED | |
| 6782264 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of Connecticut by the Centers for Medicare & Medicaid Services?
The State Of Connecticut has been issued the NPI (National Provider Identifier) 1144366493, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where State Of Connecticut is geographically located?
The State Of Connecticut is physically situated at the following location: Po Box 872, Southbury, CT, 64880901.
What is the area of specialization for State Of Connecticut, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Connecticut is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144366493 to State Of Connecticut?
The Centers for Medicare & Medicaid Services originally issued the 1144366493 to State Of Connecticut on 2007-01-30.
When was the information related to State Of Connecticut most recently updated or refreshed?
The details pertaining to the State Of Connecticut, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-15.