NPIMap

Organization Active NPI

United Community & Family Services

  • Adult Day Care Clinic/Center
  • Waterford, CT
National Provider Identifier
1497960934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
UNITED COMMUNITY & FAMILY SERVICES
Doing business as
Shoreline Adult Day Center
Practice address
1 Beechwood Dr
Waterford, CT 06385-1227
Phone
(860) 442-5873
Fax
(860) 440-3301
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie Shaw
Title
Chief Financial Officer
Phone
(860) 889-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1 Beechwood Dr
Waterford, CT 06385-1227

Mailing address

1 Beechwood Dr
Waterford, CT 06385-1227
Phone (860) 442-5873

Other identifiers 1

IdentifierTypeStateIssuer
003UWNS337OtherCTCCCI VENDOR NUMBER

Other names 1

  • Shoreline Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alsa Mystic River St Judes6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1 Beechwood Dr
Waterford, CT 06385
Phone (860) 444-6700

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497960934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEECHWOOD DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851227",
            "telephone_number": "860-442-5873",
            "fax_number": "860-440-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEECHWOOD DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851227",
            "telephone_number": "860-442-5873",
            "fax_number": "860-440-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-889-2375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCCI VENDOR NUMBER",
            "identifier": "003UWNS337",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.