NPIMap

Organization Active NPI

Recovery Network of Programs, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Bridgeport, CT
National Provider Identifier
1265649297
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
ORLC0026 Issued in CT
Legal business name
RECOVERY NETWORK OF PROGRAMS, INC.
Practice address
964 Iranistan Ave
Bridgeport, CT 06604-3710
Phone
(203) 367-0025
Fax
(203) 337-6239
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Mr. John Hamilton
Title
Chief Executive Officer
Phone
(203) 929-1954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X ORLC0026 CT Primary

Addresses

Primary practice location

964 Iranistan Ave
Bridgeport, CT 06604-3710

Mailing address

2 Trap Falls Rd
Suite 405
Shelton, CT 06484-4616
Phone (203) 929-1954

Other identifiers 1

IdentifierTypeStateIssuer
004246733MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Recovery Network of Programs Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

964 Iranistan Ave
Bridgeport, CT 06604
Phone (203) 367-0025

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1265649297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "SUITE 405",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-929-1954",
            "fax_number": "203-929-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 IRANISTAN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043710",
            "telephone_number": "203-367-0025",
            "fax_number": "203-337-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY NETWORK OF PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-929-1954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CT",
            "license": "ORLC0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246733",
            "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 Jun 25, 2013; 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.