Connecticut Renaissance, Inc.
LBN: Connecticut Renaissance, Inc.
Connecticut Renaissance, Inc. is an health care organization with primary practice located at 141 Franklin St , Stamford CT 06901-1014. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Connecticut Renaissance, Inc. can be contacted via phone (203) 602-4441, or through Pendola, Joy Nicole via phone (203) 336-5225.
Contact Information
Primary practice address
141 Franklin St
Stamford CT 06901-1014
Phone: (203) 602-4441
Fax: (203) 602-7782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | C-0266 | Connecticut |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | SA-0188 | Connecticut |
Profile Details
| NPI number | 1700893807 |
|---|---|
| LBN Legal business name | Connecticut Renaissance, Inc. |
| DBA Doing business as | |
| Authorized official | Pendola, Joy Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700893807 | NPPES |
| Connecticut | MEDICAID | 004214277 |
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