NPIMap

Organization Active NPI

Easter Seal Rehabilitation Center of Greater Waterbury, Inc.

  • Early Intervention Provider Agency
  • Waterbury, CT
National Provider Identifier
1134557242
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EASTER SEAL REHABILITATION CENTER OF GREATER WATERBURY, INC.
Practice address
22 Tompkins St
Waterbury, CT 06708-1496
Phone
(203) 754-5141
Fax
(203) 757-1198
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Mrs. Loraine Shea
Title
President/Ceo
Phone
(203) 754-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

22 Tompkins St
Waterbury, CT 06708-1496

Mailing address

22 Tompkins St
Waterbury, CT 06708-1496
Phone (203) 754-5141

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Rehab Audio4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1134557242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081496",
            "telephone_number": "203-754-5141",
            "fax_number": "203-757-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081496",
            "telephone_number": "203-754-5141",
            "fax_number": "203-757-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEAL REHABILITATION CENTER OF GREATER WATERBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-754-5141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.