Tvcca Senior Nutrition Program

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

TVCCA SENIOR NUTRITION PROGRAM

Practice address

81 Stockhouse Rd
Bozrah, CT 06334-1121

Phone

(860) 885-2745

Fax

(860) 892-2295

NPI assigned

Jun 13, 2007

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

THAMES VALLEY COUNCIL FOR COMMUNITY ACTIONAs reported in NPPES

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

Authorized official

Name

Mr. Timothy Grills, B.S

Title

Director

Phone

(860) 885-2745

Specialties & licenses 1

Addresses

Part of

Tvcca Senior Nutrition Program

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1255535357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STOCKHOUSE RD",
            "city": "BOZRAH",
            "state": "CT",
            "postal_code": "063341121",
            "telephone_number": "860-885-2745",
            "fax_number": "860-892-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 STOCKHOUSE RD",
            "city": "BOZRAH",
            "state": "CT",
            "postal_code": "063341121",
            "telephone_number": "860-885-2745",
            "fax_number": "860-892-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TVCCA SENIOR NUTRITION PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THAMES VALLEY COUNCIL FOR COMMUNITY ACTION",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "GRILLS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-885-2745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Delivered Meals in Bozrah, CT
• Providers in Bozrah, CT by specialty
• Home Delivered Meals in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.