Organization Active NPI

The Children'S Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cromwell, CT
National Provider Identifier
1710216163
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
THE CHILDREN'S HOME
Practice address
58 Missionary Rd
Cromwell, CT 06416-2134
Phone
(860) 635-6010
Fax
(860) 613-3926
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Mr. Garry Mullaney
Title
President and Ceo
Phone
(860) 635-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X CT Primary

Addresses

Primary practice location

58 Missionary Rd
Cromwell, CT 06416-2134

Mailing address

58 Missionary Drive
Cromwell, CT 06416
Phone (860) 635-6010

Other names 1

  • Children's Home Community Services Other name

National Provider Directory

National Provider Directory

Locations

58 Missionary Rd
Cromwell, CT 06416
Phone (860) 635-3010

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1710216163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MISSIONARY DRIVE",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "06416",
            "telephone_number": "860-635-6010",
            "fax_number": "860-613-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MISSIONARY RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162134",
            "telephone_number": "860-635-6010",
            "fax_number": "860-613-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-635-6010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Home Community Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.