COMMUNITY RESIDENCES, INC. (NPI# 1508061029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508061029 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENCES, INC. |
| Practice Address |
350 Lydale Pl Meriden CT 06450-6131 |
| Mailing Address |
732 West St Suite 12 Southington CT 06489-2329 |
| Practice Telephone | 2036348048 |
| Mailing Telephone | 8606217600 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL ROSIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8606217600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | R-636 | CT | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898288 | Community Residences, Inc. | Case Management | 600 Washington Ave Ste 100-d, Towson, MD 21204-3913 | 2017-05-12 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1689927592 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 8714 Parliament Dr, Springfield, VA 22151-1225 | 2012-10-17 |
| 1497044267 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 22755 Sweet Andrea Drive, Cri - Brambleton Icf, Ashburn, VA 20148 | 2011-04-01 |
| 1215248570 | Community Residences, Inc. | Case Management | 7477 Baltimore Annapolis Blvd, Suite 203, Glen Burnie, MD 21061-3504 | 2010-07-01 |
| 1063735116 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 4541 Snowflake Dr, Richmond, VA 23237-2518 | 2010-03-03 |
| 1871775049 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 7811 Oak St, Manassas, VA 20111-2210 | 2007-11-29 |
| 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 |
| 1295930725 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 52 Mohawk Rd, Bristol, CT 06010-9413 | 2007-06-15 |
| Street Address |
350 LYDALE PL |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1902950652 | State of Ct.-office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 35 Undercliff Rd, Meriden, CT 06451-1825 | 2007-01-22 |
| 1457405797 | State of Ct.-office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 35 Undercliff Rd, Meriden, CT 06451-1825 | 2007-01-23 |
| 1326192659 | State of Ct. - Office of The Comptroller | Intermediate Care Facility, Mentally Retarded | 35 Undercliff Rd, Meriden, CT 06451-1825 | 2007-01-23 |
| 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.