Organization Active NPI

McCall Foundation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Torrington, CT
National Provider Identifier
1104335041
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MCCALL FOUNDATION, INC.
Practice address
17 Prospect PL
Torrington, CT 06790-4919
Phone
(860) 496-2100
Fax
(860) 496-2111
NPI assigned
Sep 22, 2017
Organization subpart
Yes
Parent organization
MCCALL FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Authorized official

Name
Albert Stokes, LADC
Title
Directorof Quality Assurance
Phone
(860) 496-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

17 Prospect PL
Torrington, CT 06790-4919

Mailing address

PO Box 806
Torrington, CT 06790-0806
Phone (860) 496-2100

Other identifiers 1

IdentifierTypeStateIssuer
004159556MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
McCall Foundation Inc10 organizations share this tax ID, including this one
Part of
McCall Foundation Inc

Other organizations with this tax ID 9

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": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1104335041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067900806",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT PL",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904919",
            "telephone_number": "860-496-2100",
            "fax_number": "860-496-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALL FOUNDATION, INC.",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "DIRECTOROF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "860-496-2100",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004159556",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.