Intercommunity Recovery Centers
LBN: Intercommunity, Inc.
Intercommunity Recovery Centers is an health care organization with primary practice located at 16 Coventry Street , Hartford CT 06112. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Intercommunity, Inc. can be contacted via phone (860) 714-3701, or through Beauregard, Kimberly L via phone (860) 291-1340.
Contact Information
Primary practice address
16 Coventry Street
Hartford CT 06112
Phone: (860) 714-3701
Fax: (860) 714-8974
Website:
Authorized official contact:
Name: Beauregard, Kimberly L Licensed Clinical Social Worker (LCSW)
Phone: (860) 291-1340
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | SA-0159 | Connecticut |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | SA-0201 | Connecticut |
Profile Details
| NPI number | 1164580379 |
|---|---|
| LBN Legal business name | Intercommunity, Inc. |
| DBA Doing business as | Intercommunity Recovery Centers |
| Authorized official | Beauregard, Kimberly L Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 16th, 2018 - 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 | 1164580379 | NPPES |
| Connecticut | Other | CTGA000422 | SAGA |
| Connecticut | MEDICAID | 004134730 | SAGA |
| Connecticut | MEDICAID | 004042065 | SAGA |
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