Connecticut Renaissance, Inc.

LBN: Connecticut Renaissance, Inc.
Connecticut Renaissance, Inc. is an health care organization with primary practice located at 1120 Main St , Bridgeport CT 06604-4404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Connecticut Renaissance, Inc. can be contacted via phone (203) 367-6827, or through Mcauliffe, Patrick via phone (203) 336-5225.

Contact Information

Primary practice address
1120 Main St Bridgeport CT 06604-4404
Phone: (203) 367-6827
Fax: (203) 367-7576
Website:
Map and Directions
Authorized official contact:
Name: Mcauliffe, Patrick MBA, LADC
Phone: (203) 336-5225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 0332 Connecticut

Profile Details

NPI number 1740297845
LBN Legal business name Connecticut Renaissance, Inc.
DBA Doing business as
Authorized official Mcauliffe, Patrick MBA, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 9th, 2015 - about 9 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 1740297845 NPPES
Connecticut MEDICAID 004228575

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