Community Residences, Inc. in Southington - Intermediate Care Facility, Intellectual Disabilities
Community Residences, Inc. - NPI 1518162056
Community Residences, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Southington, Connecticut. Community Residences, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Residences, Inc. is 1518162056. The last update date is 2020-08-22.
Community Residences, Inc.'s current location address is 732 West St, Southington, Connecticut. You can contact this provider via phone number 8606217600 and fax number 8606212228. The mailing address for Community Residences, Inc. is 732 West St, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residences, Inc. |
|---|---|
| Address | 732 West St, Southington, Connecticut |
| Phone Number | 8606217600 |
| Fax Number | 8606212228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rosin Paul |
| Telephone Number | 8606217600 |
NPI Number Detail
| NPI Number | 1518162056 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 732 West St |
|---|---|
| City | Southington |
| State | Connecticut (CT) |
| Post Code | 64892329 |
| Phone Number | 8606217600 |
| Fax Number | 8606212228 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | R-1049 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
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What is the unique provider identifier assigned to Community Residences, Inc.?
The Community Residences, Inc. has been issued the NPI (National Provider Identifier) 1518162056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Community Residences, Inc.?
The Community Residences, Inc. is situated at 732 West St, in the city of Southington, state of CT, with the zip code 64892329.
What is Community Residences, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Residences, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did Community Residences, Inc. receive its 1518162056 assignment from the Centers for Medicare & Medicaid Services?
The Community Residences, Inc. was assigned its 1518162056 on 2007-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Community Residences, Inc. most recently updated or revised?
The information pertaining to Community Residences, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.