NPIMap

Organization Active NPI

United Community & Family Services, Inc.

  • Assisted Living Facility
  • Norwich, CT
National Provider Identifier
1063612414
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-0026 Issued in CT
Legal business name
UNITED COMMUNITY & FAMILY SERVICES, INC.
Practice address
34 E Town St
Norwich, CT 06360-2317
Phone
(860) 889-2375
Fax
(860) 889-3450
NPI assigned
Jul 24, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mr. Charles Seeman
Title
President/Ceo
Phone
(860) 889-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-0026 CT Primary

Addresses

Primary practice location

34 E Town St
Norwich, CT 06360-2317

Mailing address

34 E Town St
Norwich, CT 06360-2317
Phone (860) 889-2375

Other identifiers 1

IdentifierTypeStateIssuer
004210837MedicaidCT

Other names 1

  • ALSA Mystic River & St. Judes Other name

National Provider Directory

National Provider Directory
Tax ID family
Alsa Mystic River St Judes6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1063612414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602317",
            "telephone_number": "860-889-2375",
            "fax_number": "860-889-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602317",
            "telephone_number": "860-889-2375",
            "fax_number": "860-889-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "SEEMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-889-2375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "AL-0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004210837",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALSA Mystic River & St. Judes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.