CORNELL SCOTT HILL HEALTH CORPORATION (NPI# 1104941806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104941806 |
| Entity Type | Organization |
| Organization Name | CORNELL SCOTT HILL HEALTH CORPORATION |
| Other Organization Name | SOUTH CENTRAL REHAB CENTER |
| Practice Address |
232 Cedar St. South Central Rehabilitation Center New Haven CT 06519-1610 |
| Mailing Address |
Po Box 7720 Credentialing Specialist New Haven CT 06519-0720 |
| Practice Telephone | 2035033300 |
| Practice Fax Number | 2034013352 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035036515 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2035033174 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNELL SCOTT-HILL HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SA-0122 | CT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| South Central Rehab Center | Other Name - Individual/Organization |
| South Central Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538377148 | Cornell Scott Hill Health Corporation | Clinical Medical Laboratory | 36 East Industrial Rd, Branford, CT 06405 | 2007-05-18 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1205105095 | Cornell Scott Hill Health Corporation | Registered Nurse | 400 Columbus Ave, New Haven, CT 06519-1233 | 2011-12-22 |
| 1508161720 | Cornell Scott Hill Health Corporation | Clinic/Center | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 | 2011-01-19 |
| 1578866364 | Cornell Scott Hill Health Corporation | Clinic/Center | 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 | 2010-12-16 |
| 1427351626 | Cornell Scott Hill Health Corporation | Clinic/Center | 911 State St, State Street Health Services, New Haven, CT 06511-3926 | 2010-12-09 |
| 1407159841 | Cornell Scott Hill Health Corporation | Clinic/Center | 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 | 2010-12-07 |
| 1316240757 | Cornell Scott Hill Health Corporation | Clinic/Center | 121 Wakelee Ave, Ansonia, CT 06401-1198 | 2010-12-07 |
| 1841592466 | Cornell Scott Hill Health Corporation | Clinic/Center | 285 Main St, West Haven Health Center, West Haven, CT 06516-7307 | 2010-12-02 |
| 1376871822 | Cornell Scott Hill Health Corporation | Clinic/Center | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-11-20 |
| Street Address |
232 CEDAR ST. SOUTH CENTRAL REHABILITATION CENTER |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143152 | Connecticut Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 6 Glenville St, Greenwich, CT 06831-3638 | 2020-01-17 |
| 1235774365 | Aware Recovery Care of Indiana LLC | Substance Abuse Rehabilitation Facility | 35 Thorpe Ave Ste 104, Wallingford, CT 06492-1948 | 2019-11-13 |
| 1710528252 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 3236 Congress St, Fairfield, CT 06824-2034 | 2019-10-07 |
| 1669970125 | Mountainside - Wilton | Substance Abuse Rehabilitation Facility | 372 Danbury Rd Ste 195, Wilton, CT 06897-2523 | 2018-01-30 |
| 1104335041 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 17 Prospect Pl, Torrington, CT 06790-4919 | 2017-09-22 |
| 1922541143 | Cvs Pharmacy | Substance Abuse Rehabilitation Facility | 35 Padanaram Rd, Danbury, CT 06811-3701 | 2016-11-19 |
| 1255735577 | Pivot Ministries, Inc. | Substance Abuse Rehabilitation Facility | 485 Jane St, Bridgeport, CT 06608-1707 | 2014-10-15 |
| 1801201330 | Time for A Change Ministry | Substance Abuse Rehabilitation Facility | 880 Hancock Ave, Bridgeport, CT 06605-1930 | 2014-06-23 |
| 1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.