CONNECTICUT RENAISSANCE, INC. (NPI# 1194069708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194069708 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT RENAISSANCE, INC. |
| Practice Address |
1126 Main St Bridgeport CT 06604-4404 |
| Mailing Address |
350 Fairfield Ave Suite 701 Bridgeport CT 06604-6014 |
| Practice Telephone | 2033332040 |
| Practice Fax Number | 2033332152 |
| Mailing Telephone | 2033365225 |
| Mailing Fax Number | 2033362851 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-01-02 |
| Authorized Official Name | MR. JOSEPH B RIKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 20333652258 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0442 | CT | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0442 | CT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700893807 | Connecticut Renaissance, Inc. | Clinic/Center | 141 Franklin St, Stamford, CT 06901-1014 | 2006-08-02 |
| 1700352721 | Connecticut Renaissance, Inc. | Clinic/Center | 527 Wolcott St, Waterbury, CT 06705-1240 | 2018-10-17 |
| 1144510694 | Connecticut Renaissance, Inc. | Clinic/Center | 17 High St, Norwalk, CT 06851-4723 | 2011-04-18 |
| 1669617973 | Connecticut Renaissance, Inc. | Clinic/Center | 70 Central Ave, Waterbury, CT 06702-1207 | 2008-12-16 |
| 1215188826 | Connecticut Renaissance, Inc. | Counselor | 115 Middle St, Bridgeport, CT 06604-4410 | 2008-10-02 |
| 1720130362 | Connecticut Renaissance, Inc. | Clinic/Center | 1 Lafayette Cir, Bridgeport, CT 06604-6021 | 2007-01-16 |
| 1740297845 | Connecticut Renaissance, Inc. | Clinic/Center | 1120 Main St, Bridgeport, CT 06604-4404 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT RENAISSANCE, INC | 1 Waterview Dr Ste 202, Shelton, CT 06484-4368 |
| Connecticut Business Registrations | CONNECTICUT RENAISSANCE, INC. | 350 Fairfield Ave., Ste. 701, Bridgeport, CT 06604 |
| Street Address |
1126 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053501684 | Helping Hand Center Inc. | Clinic/Center | 1124 Iranistan Avenue, Helping Hand Center, Bridgeport, CT 06605-1121 | 2007-07-30 |
| 1871714501 | Recovery Network of Programs, Inc. | Clinic/Center | 1438 Park Ave, Bridgeport, CT 06604-2512 | 2007-05-01 |
| 1740297845 | Connecticut Renaissance, Inc. | Clinic/Center | 1120 Main St, Bridgeport, CT 06604-4404 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1265449359 | Connecticut Renaissance, Inc | Clinic/Center | 4 Byington Pl, Norwalk, CT 06850-3309 | 2006-08-02 |
| 1669944724 | Progressive Institute LLC | Clinic/Center | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | 2018-12-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1982155859 | Apt Foundation Inc. | Clinic/Center | 184 Front Ave, West Haven, CT 06516-2836 | 2016-10-17 |
| 1801241880 | Arc In Home Addiction Treatment, P.C. | Clinic/Center | 556 Washington Ave, Suite 201, North Haven, CT 06473-1149 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.