Community Residences, INC.
Intermediate Care Facility, Intellectual Disabilities in Canaan, Connecticut
1104021658- Practice location
- 25 Honey Hill RD, Canaan, CT 06018-2005
- Phone
- 860-824-7500
- Fax
- —
- Last updated
- August 22, 2020
Community Residences, INC. is a healthcare organization based in Canaan, CT. Community Residences, INC. practices in Canaan, CT. The NPI Number for Community Residences, INC. is 1104021658 and holds a License No. R-1059 (CT). The current practice location address for Community Residences, INC. is 25 Honey Hill RD, Canaan, CT 06018-2005 and can be reached out via phone at 860-824-7500.
Provider Profile Details
- NPI Number
- 1104021658
- Provider Name
- Community Residences, INC.
- Provider Entity Type
- Organization
- Address
- 25 Honey Hill RD, Canaan, CT 06018-2005
- Phone Number
- 860-824-7500
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Paul Rosin · Ezecutive Director · 860-621-7600
- Provider Enumeration Date
- June 15, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Honey Hill RD
Canaan, CT 06018-2005 - City
- Canaan
- State
- Connecticut
- Zip
- 06018-2005
- Phone Number
- 860-824-7500
Provider Business Mailing Address Details
- Address
- 732 West St
Suite 12
Southington, CT 06489-2329 - City
- Southington
- State
- CT
- Zip
- 06489-2329
- Phone Number
- 860-621-7600
- Fax Number
- 860-621-2228
License Information
- License Number
- R-1059
- License State
- CT
- Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Community Residences, INC.?
The NPI number of Community Residences, INC. is 1104021658. It was assigned on June 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Community Residences, INC.?
Community Residences, INC. is registered under the primary taxonomy Intermediate Care Facility, Intellectual Disabilities (code 315P00000X), licensed in CT under license number R-1059.
Where does Community Residences, INC. practice?
The practice location is 25 Honey Hill RD, Canaan, CT 06018-2005. The office can be reached at 860-824-7500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104021658 directly on the NPPES registry website.