Organization Active NPI

Partners in Community Care LLC

  • Community/Behavioral Health Agency
  • Waterbury, CT
National Provider Identifier
1013734318
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PARTNERS IN COMMUNITY CARE LLC
Practice address
197 Park Rd FL 1
Waterbury, CT 06708-2342
Phone
(347) 681-0176
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Cyrus Najee Damon
Title
Executive Director
Phone
(347) 681-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

197 Park Rd FL 1
Waterbury, CT 06708-2342

Mailing address

197 Park Rd FL 1
Waterbury, CT 06708-2342
Phone (347) 681-0176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1013734318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 PARK RD FL 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082342",
            "telephone_number": "347-681-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PARK RD FL 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082342",
            "telephone_number": "347-681-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "NAJEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-681-0176"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.