Boys & Girls Village

LBN: Boys & Girls Village
Boys & Girls Village is an health care organization with primary practice located at 528 Wheelers Farms Rd , Milford CT 06461-1847. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Boys & Girls Village can be contacted via phone (203) 877-0300, or through Fellenbaum, L. Kenneth via phone (203) 877-0300.

Contact Information

Primary practice address
528 Wheelers Farms Rd Milford CT 06461-1847
Phone: (203) 877-0300
Fax: (203) 876-0076
Website:
Map and Directions
Authorized official contact:
Name: Fellenbaum, L. Kenneth
Phone: (203) 877-0300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X EDT-10 Connecticut
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X OPCC-38 Connecticut
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X CPA-40 Connecticut
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X CCF/TS 17 Connecticut

Profile Details

NPI number 1477583581
LBN Legal business name Boys & Girls Village
DBA Doing business as
Authorized official Fellenbaum, L. Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477583581 NPPES
Connecticut MEDICAID 004189173-00

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