NPIMap

Organization Active NPI

Community Residences, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Winsted, CT
National Provider Identifier
1104021443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
R-1053 Issued in CT
Legal business name
COMMUNITY RESIDENCES, INC.
Practice address
166 Spencer Hill Rd
Winsted, CT 06098-2215
Phone
(860) 738-9443
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Paul Rosin
Title
Executive Director
Phone
(860) 621-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X R-1053 CT Primary

Addresses

Primary practice location

166 Spencer Hill Rd
Winsted, CT 06098-2215

Mailing address

732 West St
Suite 12
Southington, CT 06489-2329
Phone (860) 621-7600

National Provider Directory

National Provider Directory
Tax ID family
Community Residences Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104021443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WEST ST",
            "address_2": "SUITE 12",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892329",
            "telephone_number": "860-621-7600",
            "fax_number": "860-621-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SPENCER HILL RD",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060982215",
            "telephone_number": "860-738-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-621-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CT",
            "license": "R-1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, 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.