Active NPI
Hogar Crea International of Connecticut, Inc.
- Substance Abuse Rehabilitation Facility
- Hartford, CT
National Provider Identifier
1013107432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- SA0129
- Legal business name
- HOGAR CREA INTERNATIONAL OF CONNECTICUT, INC.
- Practice address
- 18 New Park Ave
Hartford, CT 06106-2122 - Phone
- (860) 232-7353
- Fax
- (860) 233-4733
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwin Rivera-Pacheco
- Title
- Executive Director
- Phone
- (860) 232-7353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | SA0129 | CT | Primary |
Addresses
Primary practice location
18 New Park Ave
Hartford, CT 06106-2122
Mailing address
18 New Park Ave
Hartford, CT 06106-2122
Phone (860) 232-7353
National Provider Directory
National Provider DirectoryLocations
18 New Park Ave
Hartford, CT 06106
Phone (860) 232-7353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1013107432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NEW PARK AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062122",
"telephone_number": "860-232-7353",
"fax_number": "860-233-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NEW PARK AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062122",
"telephone_number": "860-232-7353",
"fax_number": "860-233-4733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOGAR CREA INTERNATIONAL OF CONNECTICUT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "RIVERA-PACHECO",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-232-7353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CT",
"license": "SA0129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.