CLL Health Care Clinic, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

048768 Issued in CT

Legal business name

CLL HEALTH CARE CLINIC, LLC

Practice address

527 W Thames St
Unit 23
Norwich, CT 06360-7153

Phone

(203) 271-7089

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Zhenxiang Liu, M.D.NPI 1215115472

Title

M.D.

Phone

(203) 271-7089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zhenxiang Liu, MD

  • Internal Medicine Physician
  • Norwich, CT
  • NPI 1215115472
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1104245794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W THAMES ST",
            "address_2": "UNIT 23",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607153",
            "telephone_number": "203-271-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W THAMES ST",
            "address_2": "UNIT 23",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607153",
            "telephone_number": "203-271-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLL HEALTH CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ZHENXIANG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "203-271-7089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CT",
            "license": "048768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Civardi, RNFA, APRN, FNP-BC
• Christina Clarino, LPC
• Paul E Clark, MSW
• Ashley Diogo Cleary, LMFT
• Climb the Mountain Counseling Services
• Novyanna Airel Coates
• Janet Cohen
• Toby Coit
• Emily Colban, PA-C
• Juliette Anne Cole

• Community Health Clinic/Center in Norwich, CT
• Providers in Norwich, CT by specialty
• Community Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.