Active NPI
Senior Care Centers of Connecticut, Inc.
- Respite Care
- East Hartford, CT
National Provider Identifier
1780824854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 04102009
- Legal business name
- SENIOR CARE CENTERS OF CONNECTICUT, INC.
- Doing business as
- Senior CAre of East Hartford
- Practice address
- 144 Main St
Suite J
East Hartford, CT 06118-3239 - Phone
- (860) 568-9692
- Fax
- (860) 568-9698
- NPI assigned
- Mar 2, 2009
- 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
- Craig O Mehnert
- Title
- Cfo
- Phone
- (215) 642-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 04102009 | CT | Primary |
Addresses
Primary practice location
144 Main St
Suite J
East Hartford, CT 06118-3239
Mailing address
7 Neshaminy Interplex
Suite 403
Trevose, PA 19053
Phone (215) 642-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004260808 | Medicaid | CT |
Other names 1
- Senior CAre of East Hartford
National Provider Directory
National Provider Directory- Tax ID family
- Senior Care Centers of Connecticut Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Bloomfield, CT
- NPI 1710192265
-
- Respite Care
- Middlebury, CT
- NPI 1811102361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1780824854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NESHAMINY INTERPLEX",
"address_2": "SUITE 403",
"city": "TREVOSE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "215-642-6600",
"fax_number": "215-642-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 MAIN ST",
"address_2": "SUITE J",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061183239",
"telephone_number": "860-568-9692",
"fax_number": "860-568-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE CENTERS OF CONNECTICUT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "MEHNERT",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "215-642-6600"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "CT",
"license": "04102009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004260808",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior CAre of East Hartford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.