NPIMap

Organization Active NPI

State of CT. - Office of the Comptroller

  • Intellectual Disabilities Intermediate Care Facility
  • Southbury, CT
National Provider Identifier
1992832240
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
1461 South Britain Rd.
Southbury, CT 06488-1139
Phone
(203) 586-2000
Fax
(203) 586-2700
NPI assigned
Feb 27, 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

1461 South Britain Rd.
Southbury, CT 06488-1139

Mailing address

PO Box 872
Southbury, CT 06488-0901
Phone (203) 586-2000

Other identifiers 2

IdentifierTypeStateIssuer
C00793OtherCTMEDICARE ID - TYPE UNSPECIFIED
006782123MedicaidCT

Other names 1

  • STS Cottage 4 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 12

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

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1992832240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880901",
            "telephone_number": "203-586-2000",
            "fax_number": "203-586-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BRITAIN RD.",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881139",
            "telephone_number": "203-586-2000",
            "fax_number": "203-586-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CT. - OFFICE OF THE COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "C00793",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006782123",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STS Cottage 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbury, 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.