Organization Active NPI

Hogar Crea International of Connecticut, Inc.

  • Substance Abuse Rehabilitation Facility
  • Hartford, CT
National Provider Identifier
1013107432
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0129 Issued in CT
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

Updated by the provider on Aug 1, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.