NPIMap

Organization Active NPI

Cornell Scott Hill Health Corporation

Doing business as South Central Rehabilitation Center

  • Substance Abuse Rehabilitation Facility
  • New Haven, CT
National Provider Identifier
1104941806
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA-0122 Issued in CT
Legal business name
CORNELL SCOTT HILL HEALTH CORPORATION
Doing business as
South Central Rehabilitation Center
Practice address
232 Cedar St.
South Central Rehabilitation Center
New Haven, CT 06519-1610
Phone
(203) 503-3300
Fax
(203) 401-3352
NPI assigned
Mar 20, 2007
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CORNELL SCOTT-HILL HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Sol Maria Gonzalez
Title
Credentialing Specialist
Phone
(203) 503-3174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA-0122 CT Primary

Addresses

Primary practice location

232 Cedar St.
South Central Rehabilitation Center
New Haven, CT 06519-1610

Mailing address

PO Box 7720
Credentialing Specialist
New Haven, CT 06519-0720
Phone (203) 503-3174

Other names 2

  • South Central Rehabilitation Center Doing business as
  • South Central Rehab Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornell Scott - Hill Health16 organizations share this tax ID, including this one
Part of
Cornell Scott - Hill Health

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1104941806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7720",
            "address_2": "CREDENTIALING SPECIALIST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065190720",
            "telephone_number": "203-503-3174",
            "fax_number": "203-503-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CEDAR ST.",
            "address_2": "SOUTH CENTRAL REHABILITATION CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191610",
            "telephone_number": "203-503-3300",
            "fax_number": "203-401-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL SCOTT HILL HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNELL SCOTT-HILL HEALTH CORPORATION",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SOL",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "203-503-3174"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA-0122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Central Rehab Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Central Rehab Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.