STATE OF CONNECTICUT (NPI# 1467582072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467582072 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT |
| Other Organization Name | STS ADMINISTRATION - CROSSOVERS |
| Practice Address |
1461 South Britain Rd. Southbury CT 06488-1139 |
| Mailing Address |
Po Box 872 Southbury CT 06488-0901 |
| Practice Telephone | 2035862000 |
| Practice Fax Number | 2035862700 |
| Mailing Telephone | 2035862000 |
| Mailing Fax Number | 2035862700 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | EUGENE HARVEY (DIRECTOR) |
| Authorized Official Telephone | 2035862466 |
| 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 | 004042263 | 05 |
| Other Name | Type Code |
|---|---|
| STS Administration - Crossovers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095851 | State of Connecticut | Clinic/Center | 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 | 2018-03-06 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1205951662 | State of Connecticut | Skilled Nursing Facility | 287 West Street, Rocky Hill, CT 06067-3904 | 2007-03-21 |
| 1750459855 | State of Connecticut | Psychiatric Residential Treatment Facility | 915 River Road, Middletown, CT 06457-3921 | 2006-11-30 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF CONNECTICUT DMR | 460 Capitol Ave, Hartford, CT 06106-1308 |
| Street Address |
1461 SOUTH BRITAIN RD. |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902946114 | State of Ct.-office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-07 |
| 1629250246 | Rebecca Ann Strubbe | Physician Assistant | 1461 South Britain Rd., Southbury, CT 06488-0901 | 2007-12-05 |
| 1265560569 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1568590776 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1336277698 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1164550422 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1124155973 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| 1508993338 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| 1326175159 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| 1710015292 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| 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 |
|---|---|---|---|---|
| 1962538348 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 Britain Rd S, Southbury, CT 06488-1139 | 2007-02-27 |
| 1750417127 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd, Southbury, CT 06488-1139 | 2007-02-27 |
| 1902946114 | State of Ct.-office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-07 |
| 1265560569 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1568590776 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1336277698 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1164550422 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-03-01 |
| 1124155973 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| 1508993338 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| 1326175159 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 1461 South Britain Rd., Southbury, CT 06488-1139 | 2007-02-28 |
| Find all providers in SOUTHBURY | ||||
Please comment or provide details below to improve the information on STATE OF CONNECTICUT.
| 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.