North Region-Shape House- 87 Mtn. Road

LBN: State Of Ct. - Office Of The Comptroller
North Region-Shape House- 87 Mtn. Road is an health care organization with primary practice located at 71 Mountain Rd , Newington CT 06111-1508. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. State Of Ct. - Office Of The Comptroller can be contacted via phone (860) 331-2024, or through Secchiaroli, Crescentino via phone (860) 418-8712.

Contact Information

Primary practice address
71 Mountain Rd Newington CT 06111-1508
Fax:
Website:
Authorized official contact:
Name: Secchiaroli, Crescentino

Health care specialties

Profile Details

NPI number 1033263389
LBN Legal business name State Of Ct. - Office Of The Comptroller
DBA Doing business as North Region-Shape House- 87 Mtn. Road
Authorized official Secchiaroli, Crescentino
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 28th, 2016 - about 8 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 1033263389 NPPES
Connecticut MEDICAID 006722161

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