STATE OF CT.- OFFICE OF THE COMPTROLLER (NPI# 1417001744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417001744 |
| Entity Type | Organization |
| Organization Name | STATE OF CT.- OFFICE OF THE COMPTROLLER |
| Other Organization Name | SOUTH REGION - DURANT/RIVERVIEW |
| Practice Address |
240 Oral School Rd Mystic CT 06355-1208 |
| Practice Telephone | 8605721537 |
| Mailing Telephone | 8605721537 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | MR. CRESCENTINO SECCHIAROLI (FISCAL ADMINISTRATOR) |
| Authorized Official Telephone | 8604188712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 006732128 | 05 |
| Other Name | Type Code |
|---|---|
| South Region - Durant/Riverview | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839421 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 240 Oral School Rd, Mystic, CT 06355-1208 | 2007-01-22 |
| 1548303118 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-14 |
| 1033252606 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-14 |
| 1770623563 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-08 |
| Street Address |
240 ORAL SCHOOL RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839421 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 240 Oral School Rd, Mystic, CT 06355-1208 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| 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 |
|---|---|---|---|---|
| 1790839421 | State of Ct.- Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 240 Oral School Rd, Mystic, CT 06355-1208 | 2007-01-22 |
| 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 | ||||
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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.