Dava Healthcare L.L.C

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DAVA HEALTHCARE L.L.C

Practice address

110 Old Wood Rd
Berlin, CT 06037-3762

Phone

(860) 365-6397

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Elisabeth Pesce

Title

Ceo

Phone

(860) 538-4571

Specialties & licenses 1

Addresses

Other names 1

• Dava Healthcare L.L.C Doing business as

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1083209092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OLD WOOD RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373762",
            "telephone_number": "860-365-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OLD WOOD RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373762",
            "telephone_number": "860-365-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVA HEALTHCARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-09-29",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-538-4571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dava Healthcare L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy M Crowley, ATC
• Brianna Crucitti, OTR/L
• Agata Dabek, PHARM.D.
• Nisrine Dagamseh, PHARMD
• Sarah Daglis, ND
• Eric Davies, PHARMD
• De Cora Home Care, LLC
• Emily De la Rocha, LPC, ATR-P
• Steve Defrancesco
• Dennis S Gianoli DDS PC

• All providers in Berlin, CT
• Substance Use Disorder Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.