NPIMap

Organization Active NPI

Whole Life Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Coventry, CT
National Provider Identifier
1376745240
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
R149 Issued in CT
Legal business name
WHOLE LIFE INC.
Practice address
139 High St
Coventry, CT 06238-3338
Phone
(860) 742-0404
NPI assigned
Jun 4, 2007
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mrs. Melissa Ann Szuba
Title
Controller
Phone
(860) 886-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X R149 CT Primary

Addresses

Primary practice location

139 High St
Coventry, CT 06238-3338

Mailing address

216 Broad St FL 3
New London, CT 06320-5335
Phone (860) 886-6900

Other names 1

  • Tri-County ARC, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Arc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1376745240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BROAD ST FL 3",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205335",
            "telephone_number": "860-886-6900",
            "fax_number": "860-574-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HIGH ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383338",
            "telephone_number": "860-742-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "SZUBA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "860-886-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CT",
            "license": "R149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County ARC, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coventry, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.