Active NPI
Landmark Recovery of Connecticut LLC
- Substance Abuse Rehabilitation Facility
- New London, CT
National Provider Identifier
1700530060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LANDMARK RECOVERY OF CONNECTICUT LLC
- Practice address
- 89 Viets St
New London, CT 06320-3355 - Phone
- (855) 950-5035
- NPI assigned
- Feb 7, 2022
- 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
- Claire Vitualla
- Title
- Payor Contracting Specialist
- Phone
- (615) 282-1405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
89 Viets St
New London, CT 06320-3355
Mailing address
720 Cool Springs Blvd Ste 500
Franklin, TN 37067-7259
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1700530060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 COOL SPRINGS BLVD STE 500",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 VIETS ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063203355",
"telephone_number": "855-950-5035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK RECOVERY OF CONNECTICUT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "VITUALLA",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "PAYOR CONTRACTING SPECIALIST",
"authorized_official_telephone_number": "615-282-1405"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.