Community Renewal Team Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY RENEWAL TEAM INC.

Practice address

675 Tower Ave
Hartford, CT 06451

Phone

(860) 714-2718

NPI assigned

Nov 23, 2010

Organization subpart

Yes

Parent organization

COMMUNITY RENEWAL TEAM INC.As reported in NPPES

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

Authorized official

Name

Demys Y Mercado, BA

Title

Clinical Case Manager

Phone

(860) 714-2718

Specialties & licenses 1

Addresses

Tax ID family

Community Renewal Team2 organizations share this tax ID, including this one

Part of

Community Renewal Team

Other organizations with this tax ID 1

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

• Community Renewal Team

  • Case Management Agency
  • Hartford, CT
  • NPI 1053613752
  NPD tax ID

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1144522160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "860-714-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RENEWAL TEAM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY RENEWAL TEAM INC.",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "DEMYS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CLINICAL CASE MANAGER",
        "authorized_official_telephone_number": "860-714-2718",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Services, Inc.
• Community Renewal Team
• Community Renewal Team
• Community Renewal Team
• Community Renewal Team
• Community Renewal Team, Inc
• Community Renewal Team, Inc
• Community Renewal Team, Inc.
• Community Renewal Team, Inc.
• Community Renewal Team, Inc.

• Case Management Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Case Management Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.