Community Residences, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Canaan, CT
NPI 1104021658 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104021658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- R-1059 (CT)
- Legal business name
- COMMUNITY RESIDENCES, INC.
- Practice address
- 25 Honey Hill Rd
Canaan, CT 06018-2005 - Phone
- (860) 824-7500
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul Rosin
- Title
- Ezecutive Director
- Phone
- (860) 621-7600
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Community Residences Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | R-1059 | CT | Yes |
Addresses
Primary practice location
25 Honey Hill Rd
Canaan, CT 06018-2005
Mailing address
732 West St
Suite 12
Southington, CT 06489-2329
Phone (860) 621-7600
Other providers in Canaan, CT
- Michelle Anne Blackburn
- Karen Browning
- Canaan Apothecary LLC
- Brittanie Cavanaugh
- Community Health and Wellness Center of Greater Torrington Inc
- Connecticut Elder Care LLC
- William R Cummiskey
- John Dannon
- Candace Marie Dean
- Dennis Kobylarz MD PC
All providers in Canaan, CT · Intellectual Disabilities Intermediate Care Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.