National Provider Identifier Database

STATE OF CT OFFICE OF THE COMPTROLLER
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

STATE OF CT. - OFFICE OF THE COMPTROLLER
1461 SOUTH BRITAIN RD.
SOUTHBURY, CT06488-1139
Phone: 203-586-2000
Fax: 203-586-2700
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for STATE OF CT. - OFFICE OF THE COMPTROLLER

NPI Number 1831225598
Legal business name
LBN
STATE OF CT. - OFFICE OF THE COMPTROLLER
Authorized official CRESCENTINO SECCHIAROLI - (FISCAL ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/26/2007
Last updated 03/25/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 006782222
  • CT Other: C00793 MEDICARE ID - TYPE UNSPECIFIED

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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