NPIMap

Organization Active NPI

State of CT.-Office of the Comptroller

Doing business as South Region - Cottage 11

  • Intellectual Disabilities Intermediate Care Facility
  • Meriden, CT
National Provider Identifier
1457405797
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
STATE OF CT.-OFFICE OF THE COMPTROLLER
Doing business as
South Region - Cottage 11
Practice address
35 Undercliff Rd
Meriden, CT 06451-1825
Phone
(203) 686-1264
NPI assigned
Jan 23, 2007
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mr. Crescentino Secchiaroli
Title
Fiscal Administrator
Phone
(860) 418-8712

Specialties & licenses 1

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

Addresses

Primary practice location

35 Undercliff Rd
Meriden, CT 06451-1825

Mailing address

35 Undercliff Rd
Meriden, CT 06451-1825
Phone (203) 686-1264

Other identifiers 1

IdentifierTypeStateIssuer
006752100MedicaidCT

Other names 1

  • South Region - Cottage 11 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Connecticut Office of the Comptroller74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1457405797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNDERCLIFF RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511825",
            "telephone_number": "203-686-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 UNDERCLIFF RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511825",
            "telephone_number": "203-686-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CT.-OFFICE OF THE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "SECCHIAROLI",
        "authorized_official_first_name": "CRESCENTINO",
        "authorized_official_title_or_position": "FISCAL ADMINISTRATOR",
        "authorized_official_telephone_number": "860-418-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006752100",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Region - Cottage 11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.