Active NPI
Maxcen Housing Society Inc Connecticut Branch
- Respite Care
- East Lyme, CT
National Provider Identifier
1013542141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- MAXCEN HOUSING SOCIETY INC CONNECTICUT BRANCH
- Practice address
- 153 Boston Post Rd
East Lyme, CT 06333-1605 - Phone
- (888) 959-4159
- NPI assigned
- Mar 9, 2020
- 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
- Jean-Maxcene Decarde, WSC
- Title
- President
- Phone
- (407) 723-3832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
153 Boston Post Rd
East Lyme, CT 06333-1605
Mailing address
PO Box 136267
Clermont, FL 34713-6267
Phone (407) 723-3832
National Provider Directory
National Provider DirectoryLocations
153 Boston Post Rd
East Lyme, CT 06333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583712000000",
"number": "1013542141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 136267",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347136267",
"telephone_number": "407-723-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 BOSTON POST RD",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063331605",
"telephone_number": "888-959-4159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXCEN HOUSING SOCIETY INC CONNECTICUT BRANCH",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A",
"authorized_official_last_name": "DECARDE",
"authorized_official_first_name": "JEAN-MAXCENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-723-3832",
"authorized_official_credential": "WSC"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.