Edadvance

Organization Active NPI Early Intervention Provider Agency · Litchfield, CT

NPI 1386765089 · NPPES record last updated Aug 5, 2022

Key facts

NPI
1386765089
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
EDADVANCE
Practice address
355 Goshen Road
Litchfield, CT 06759
Phone
(860) 733-3995
NPI assigned
Apr 2, 2007
Organization subpart
No

Authorized official

Name
Dr. Jeffrey C Kitching, ED.D.
Title
Executive Director
Phone
(860) 567-0863

Corporate family (same tax ID) 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Edadvance (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CT
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

355 Goshen Road
Litchfield, CT 06759

Mailing address

PO Box 909
Litchfield, CT 06759-0909
Phone (860) 567-0863

Other identifiers

IdentifierTypeStateIssuer
004186541MedicaidCT

Other names

  • EDUCATION CONNECTION Former legal business name

Other providers in Litchfield, CT

All providers in Litchfield, CT · Early Intervention Provider Agency in Connecticut

Sources for this page

Verify at the official NPI Registry.