Easter Seals Capital Region & Eastern Connecticut, Inc.

LBN: Easter Seals Capital Region & Eastern Connecticut, Inc.
Easter Seals Capital Region & Eastern Connecticut, Inc. is an health care organization with primary practice located at 100 Deerfield Rd , Windsor CT 06095-4252. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Easter Seals Capital Region & Eastern Connecticut, Inc. can be contacted via phone (860) 714-9500, or through Gouse, Allen S. via phone (860) 714-9501.

Contact Information

Primary practice address
100 Deerfield Rd Windsor CT 06095-4252
Phone: (860) 714-9500
Fax: (860) 714-8555
Website:
Map and Directions
Authorized official contact:
Name: Gouse, Allen S. PH.D.
Phone: (860) 714-9501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 074502 Connecticut

Profile Details

NPI number 1639177926
LBN Legal business name Easter Seals Capital Region & Eastern Connecticut, Inc.
DBA Doing business as
Authorized official Gouse, Allen S. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 7th, 2012 - about 13 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 1639177926 NPPES
Connecticut MEDICAID 004039632

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