NPIMap

Organization Active NPI

Town of Enfield

  • Adult Day Care Clinic/Center
  • Enfield, CT
National Provider Identifier
1063639979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TOWN OF ENFIELD
Practice address
1A Beech Rd
Enfield, CT 06082-4462
Phone
(860) 763-7538
Fax
(860) 763-7584
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew W. Coppler
Title
Town Manager
Phone
(860) 253-6352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1A Beech Rd
Enfield, CT 06082-4462

Mailing address

1A Beech Rd
Enfield, CT 06082-4462
Phone (860) 763-7538

Other identifiers 1

IdentifierTypeStateIssuer
004EADC082OtherCTCCCI PROVIDER #

Other names 1

  • Enfield Adult Day Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Enfield Adult Day Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063639979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BEECH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824462",
            "telephone_number": "860-763-7538",
            "fax_number": "860-763-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A BEECH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824462",
            "telephone_number": "860-763-7538",
            "fax_number": "860-763-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ENFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPPLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "860-253-6352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCCI PROVIDER #",
            "identifier": "004EADC082",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enfield Adult Day Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.