Active NPI
Meditox Care, LLC
- Psychiatric Residential Treatment Facility
- Clinton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MEDITOX CARE, LLC
- Practice address
- 5 Harbor Pkwy
Clinton, CT 06413-2606 - Phone
- (203) 450-4882
- NPI assigned
- Sep 18, 2025
- Organization subpart
- Yes
- Parent organization
- MEDITOX CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Elsamra
- Title
- Owner
- Phone
- (203) 887-3890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
5 Harbor Pkwy
Clinton, CT 06413-2606
Mailing address
5 Harbor Pkwy
Clinton, CT 06413-2606
Phone (203) 450-4882
National Provider Directory
National Provider Directory- Tax ID family
- Meditox Care LLC
- Part of
- Meditox Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elevate Health and Wellness
- Substance Abuse Rehabilitation Facility
- Westport, CT
- NPI 1629703384
-
dba Elevate Health and Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westport, CT
- NPI 1730623737
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westport, CT
- NPI 1942119177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Westport, CT
- NPI 1457464406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1003788233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HARBOR PKWY",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132606",
"telephone_number": "203-450-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HARBOR PKWY",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132606",
"telephone_number": "203-450-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDITOX CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDITOX CARE, LLC",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "ELSAMRA",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-887-3890"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.