NPIMap

Organization Active NPI

State of CT. - Office of the Comptroller

Doing business as West Region - EGRC Bldg 2

  • Intellectual Disabilities Intermediate Care Facility
  • Stratford, CT
National Provider Identifier
1013061209
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
STATE OF CT. - OFFICE OF THE COMPTROLLER
Doing business as
West Region - EGRC Bldg 2
Practice address
300 Armory Rd
Stratford, CT 06614-1752
Phone
(203) 579-6906
NPI assigned
Jan 23, 2007
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Crescentino Secchiaroli
Title
Fiscal Administrator
Phone
(860) 418-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

300 Armory Rd
Stratford, CT 06614-1752

Mailing address

300 Armory Rd
Stratford, CT 06614-1752
Phone (203) 579-6906

Other names 1

  • West Region - EGRC Bldg 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uncas in Thames Hospita74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

300 Armory Rd
Stratford, CT 06614
Phone (203) 579-6906

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1013061209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ARMORY RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141752",
            "telephone_number": "203-579-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARMORY RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141752",
            "telephone_number": "203-579-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CT. - OFFICE OF THE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "SECCHIAROLI",
        "authorized_official_first_name": "CRESCENTINO",
        "authorized_official_title_or_position": "FISCAL ADMINISTRATOR",
        "authorized_official_telephone_number": "860-418-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Region - EGRC Bldg 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.