NPIMap

Organization Active NPI

State of CT.-Office of the Comptroller

  • Intellectual Disabilities Intermediate Care Facility
  • Meriden, CT
National Provider Identifier
1902950652
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
STATE OF CT.-OFFICE OF THE COMPTROLLER
Practice address
35 Undercliff Rd
Meriden, CT 06451-1825
Phone
(203) 574-3270
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mr. Crescentino Secchiaroli
Title
Fiscal Administrator
Phone
(860) 418-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

35 Undercliff Rd
Meriden, CT 06451-1825

Mailing address

35 Undercliff Rd
Meriden, CT 06451-1825
Phone (203) 574-3270

Other identifiers 1

IdentifierTypeStateIssuer
006752118MedicaidCT

Other names 1

  • South Region-Cottages 9 &12 & Transition Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Dempsey Hosp74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

35 Undercliff Rd
Meriden, CT 06451
Phone (203) 238-6538

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1902950652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNDERCLIFF RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511825",
            "telephone_number": "203-574-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 UNDERCLIFF RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511825",
            "telephone_number": "203-574-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CT.-OFFICE OF THE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "SECCHIAROLI",
        "authorized_official_first_name": "CRESCENTINO",
        "authorized_official_title_or_position": "FISCAL ADMINISTRATOR",
        "authorized_official_telephone_number": "860-418-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006752118",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Region-Cottages 9 &12 & Transition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.