Organization Active NPI

Mano-En-Mano Hand in Hand,LLC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, CT
National Provider Identifier
1629639034
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MANO-EN-MANO HAND IN HAND,LLC
Practice address
843 Main St Ste 10
Manchester, CT 06040-6041
Phone
(860) 634-2514
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Edwin Rexach, LADC
Title
Ceo
Phone
(860) 634-2514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

843 Main St Ste 10
Manchester, CT 06040-6041

Mailing address

1206 Storrs Rd # 101
Storrs Mansfield, CT 06268-2251
Phone (860) 634-2514

Other identifiers 1

IdentifierTypeStateIssuer
1215304746MedicaidCT

Other names 1

  • Mano-En-Mano Hand in Hand,LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL edrexach@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

843 Main St
Ste 10
Manchester, CT 06040
Phone (860) 634-2514

1206 Storrs Rd
#101
Storrs Mansfield, CT 06268

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1629639034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 STORRS RD # 101",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682251",
            "telephone_number": "860-634-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MAIN ST STE 10",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406041",
            "telephone_number": "860-634-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANO-EN-MANO HAND IN HAND,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "REXACH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-634-2514",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215304746",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edrexach@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 Storrs Rd # 101",
            "city": "Storrs Mansfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mano-En-Mano Hand in Hand,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.