South Region-Rainbow House

LBN: State Of Ct.- Office Of The Comptroller
South Region-Rainbow House is an health care organization with primary practice located at 240 Oral School Rd , Mystic CT 06355-1208. 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) 859-5404, or through Secchiaroli, Crescentino via phone (860) 418-8712.

Contact Information

Primary practice address
240 Oral School Rd Mystic CT 06355-1208
Phone: (860) 859-5404
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 1790839421
LBN Legal business name State Of Ct.- Office Of The Comptroller
DBA Doing business as South Region-Rainbow House
Authorized official Secchiaroli, Crescentino
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790839421 NPPES
Connecticut MEDICAID 006732037

Popular Providers