South Region - Cottage 11

LBN: State Of Ct.-Office Of The Comptroller
South Region - Cottage 11 is an health care organization with primary practice located at 35 Undercliff Rd , Meriden CT 06451-1825. 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 (203) 686-1264, or through Secchiaroli, Crescentino via phone (860) 418-8712.

Contact Information

Primary practice address
35 Undercliff Rd Meriden CT 06451-1825
Phone: (203) 686-1264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Secchiaroli, Crescentino
Phone: (860) 418-8712

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1457405797
LBN Legal business name State Of Ct.-Office Of The Comptroller
DBA Doing business as South Region - Cottage 11
Authorized official Secchiaroli, Crescentino
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 25th, 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 1457405797 NPPES
Connecticut MEDICAID 006752100

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