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Contact Information

EASTER SEAL REHABILITATION CENTER
22 TOMPKINS ST
WATERBURY, CT06708-1417
 Phone: 203-754-5141
 Fax: 203-757-1198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hearing Aid Equipment

332S00000X 87 All Other Suppliers
 

Audiologist-Hearing Aid Fitter

237600000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for EASTER SEAL REHABILITATION CENTER

NPI Number 1093884926
LBN Legal business name EASTER SEAL REHABILITATION CENTER
Authorized official LORAINE SHEA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 10/11/2023 - About 3 years ago
Identifiers
CT Medicaid 004015061
CT Other 12DME0601CT01 BCBS-DME
CT Other OR2189 HEALTH NET
CT Other 04154 HEARUSA
CT Other 04731 HEARUSA
CT Other 185832 PREFERRED ONE-WELLCARE
CT Other 296184 PREFERRED ONE-WELLCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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