Active NPI
Mano-En-Mano Hand in Hand,LLC
- Addiction (Substance Use Disorder) Counselor
- Manchester, CT
National Provider Identifier
1629639034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215304746 | Medicaid | CT |
Other names 1
- Mano-En-Mano Hand in Hand,LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | edrexach@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.