Organization Active NPI

Southwestern Connecticut Agency on Aging

  • Case Management Agency
  • Bridgeport, CT
National Provider Identifier
1225163876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHWESTERN CONNECTICUT AGENCY ON AGING
Practice address
10 Middle St
Bridgeport, CT 06604-4257
Phone
(203) 333-9288
Fax
(203) 696-3866
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Linda L Delorenzo
Title
Executive Director
Phone
(203) 333-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10 Middle St
Bridgeport, CT 06604-4257

Mailing address

10 Middle St
Bridgeport, CT 06604-4257
Phone (203) 333-9288

Other identifiers 1

IdentifierTypeStateIssuer
4158946OtherCTCHCPE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225163876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MIDDLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044257",
            "telephone_number": "203-333-9288",
            "fax_number": "203-696-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MIDDLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044257",
            "telephone_number": "203-333-9288",
            "fax_number": "203-696-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN CONNECTICUT AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-333-9288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHCPE PROVIDER NUMBER",
            "identifier": "4158946",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

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