WHOLE LIFE INC. (NPI# 1376745240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376745240 |
| Entity Type | Organization |
| Organization Name | WHOLE LIFE INC. |
| Other Organization Name | TRI-COUNTY ARC, INC. |
| Practice Address |
139 High St Coventry CT 06238-3338 |
| Mailing Address |
216 Broad St Fl 3 New London CT 06320-5335 |
| Practice Telephone | 8607420404 |
| Mailing Telephone | 8608866900 |
| Mailing Fax Number | 8605749223 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | MRS. MELISSA ANN SZUBA (CONTROLLER) |
| Authorized Official Telephone | 8608866900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | R149 | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tri-County ARC, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134321094 | Whole Life Inc. | Intermediate Care Facility, Mentally Retarded | 59 Dunn Hill Rd, Tolland, CT 06084-2415 | 2007-06-04 |
| Street Address |
139 HIGH ST |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1932201308 | Paul Ilario Szwez | Chiropractor | 28 Lake St., Coventry, CT 06238 | 2006-09-05 |
| 1306879242 | Richard A St. Dennis | Physician Assistant | 3514 Main Street, Coventry, CT 06238 | 2006-07-07 |
| 1871071423 | Chastity J. Pimental Lcsw, Pllc | Social Worker | 1153 Main St, Coventry, CT 06238 | 2018-08-04 |
| 1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
| 1568686970 | Jennifer Therian | Counselor | 32 Church Lane, Coventry, CT 06238-0749 | 2007-04-13 |
| 1821332115 | Jenifer L Gietek | Social Worker | 21 Bread and Milk St Fl 1, Coventry, CT 06238-1012 | 2012-11-27 |
| 1144531989 | Barbara Forstberg Lcsw LLC | Community/Behavioral Health | 21 Bread and Milk St, Coventry, CT 06238-1012 | 2010-06-26 |
| 1396007043 | Julie Lynn Ingenohl | Marriage & Family Therapist | 58 Zeya Dr, Coventry, CT 06238-1035 | 2012-06-08 |
| 1407888332 | Krista A Catalan | Physical Therapist | 1683 Boston Tpke, Coventry, CT 06238-1105 | 2006-07-07 |
| Find all providers in zip 06238 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225163223 | Living In Fulfilling Environments, Inc. | Intermediate Care Facility, Mentally Retarded | 112 Chaplin Dr, Coventry, RI 02816-5045 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366494 | Ability Beyond Disability | Intermediate Care Facility, Mentally Retarded | 19 Pleasant Rise Cir, Brookfield, CT 06804-2126 | 2019-09-26 |
| 1629629779 | Ability Beyond Disability | Intermediate Care Facility, Mentally Retarded | 3 Seminole Dr, Danbury, CT 06811-4442 | 2019-09-20 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1205194172 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 48 Lakeside Blvd East, Waterbury, CT 06708 | 2012-04-30 |
| 1023311206 | Marrakech, Inc | Intermediate Care Facility, Mentally Retarded | 5 Harbor Pkwy, Clinton, CT 06413-2606 | 2010-12-10 |
| 1811206972 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 68 Genoa St, Waterbury, CT 06708 | 2010-10-06 |
| 1144420456 | Litchfield Assoc. for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 8 Bertoli Dr, Litchfield, CT 06759-2715 | 2007-07-24 |
| 1871790501 | Rms Development, Inc. | Intermediate Care Facility, Mentally Retarded | 135 Two Stone Dr, Wethersfield, CT 06109-4169 | 2007-06-27 |
| 1104021443 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 166 Spencer Hill Rd, Winsted, CT 06098-2215 | 2007-06-18 |
| 1548465065 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 3 Erica Ln, Wolcott, CT 06716-1427 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WHOLE LIFE INC..
| 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.