Town of Windsor

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TOWN OF WINDSOR

Practice address

275 Broad St
Windsor, CT 06095-2940

Phone

(860) 285-1823

Fax

(860) 285-1864

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Petrillo Jr., DRPH

Title

Director of Health

Phone

(860) 285-1823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Community Health Servic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Town of Windsor

  • Adult Day Care Clinic/Center
  • Windsor, CT
  • NPI 1386858645
  NPD tax ID
• Town of Windsor

  • Adult Day Care Clinic/Center
  • Windsor, CT
  • NPI 1548511041
  NPD tax ID

Locations

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1952599151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BROAD ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952940",
            "telephone_number": "860-285-1823",
            "fax_number": "860-285-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BROAD ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952940",
            "telephone_number": "860-285-1823",
            "fax_number": "860-285-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WINDSOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "PETRILLO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "860-285-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Medical Care Inc
• Regina Toussaint, OTR/L
• Julie Ann Tower, RN, BSN, IBCLC
• Town of Windsor
• Town of Windsor
• Carolina Hoang Tran
• Transformative Healing Counseling Services LLC
• Annetta Ruth Troche, NP
• Moesha Turner
• Dorothy Elizabeth Tyksienski

• Public Health or Welfare Agency in Windsor, CT
• Providers in Windsor, CT by specialty
• Public Health or Welfare Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.