Organization Active NPI

Vantage Group, Inc

  • Developmentally Disabled Services Day Training Agency
  • Wallingford, CT
National Provider Identifier
1053776294
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
VANTAGE GROUP, INC
Practice address
29 North Plains Hwy
Unit 15
Wallingford, CT 06492-5838
Phone
(203) 234-7737
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Richard Pittman, MS, CSS
Title
Executive Director
Phone
(203) 234-7737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

29 North Plains Hwy
Unit 15
Wallingford, CT 06492-5838

Mailing address

29 North Plains Highway
Unit 15
Wallingford, CT 06492-5838
Phone (203) 234-7737

National Provider Directory

National Provider Directory

Locations

29 N Plains Rd
Unit 15
Wallingford, CT 06492
Phone (203) 234-7737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1053776294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTH PLAINS HIGHWAY",
            "address_2": "UNIT 15",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925838",
            "telephone_number": "203-234-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTH PLAINS HWY",
            "address_2": "UNIT 15",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925838",
            "telephone_number": "203-234-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-234-7737",
        "authorized_official_credential": "MS, CSS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.