COMMUNITY RENEWAL TEAM (NPI# 1053613752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053613752 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RENEWAL TEAM |
| Practice Address |
675 Tower Ave 303 Hartford CT 06112-1273 |
| Practice Telephone | 8607143340 |
| Practice Fax Number | 8607148516 |
| Mailing Telephone | 8607143340 |
| Mailing Fax Number | 8607148516 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MR. DAVID COLON (CLINICAL CASE MANAGER) |
| Authorized Official Telephone | 8607143340 |
| Authorized Official Credential | BS |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY RENEWAL TEAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881853034 | Community Renewal Team | Social Worker | 949 Pleasant Valley Rd Apt 4-12, South Windsor, CT 06074-4237 | 2008-06-03 |
| 1124397518 | Community Renewal Team | Counselor | 1921 Park St, Hartford, CT 06106-2118 | 2011-12-14 |
| 1679748628 | Community Renewal Team | Social Worker | 675 Tower Ave, Mob, Suite 308, Hartford, CT 06112-1273 | 2008-04-29 |
| 1629145065 | Community Renewal Team | Marriage & Family Therapist | 11 Mountain Ave, Suite204, Bloomfield, CT 06002-2343 | 2006-11-29 |
| 1669542379 | Community Renewal Team | Community/Behavioral Health | 675 Tower Ave, Hartford, CT 06112-1260 | 2006-11-09 |
| Street Address |
675 TOWER AVE 303 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448878 | Kimberly L Beaulieu | Physician Assistant | 675 Tower Ave, Hartford, CT 06112-1264 | 2005-09-21 |
| 1053833475 | Mona Anne Chiurillo | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2017-07-07 |
| 1457758179 | Shivanna Subramani Gonzalez | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2014-11-24 |
| 1750626032 | Melissa Leigh Costanzo | Marriage & Family Therapist | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2012-11-28 |
| 1477846319 | Susana L Mealha | Social Worker | 675 Tower Ave, Suite 303, Hartford, CT 06112-1273 | 2011-05-25 |
| 1396038691 | Javeeria Manzoor | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-05-18 |
| 1912204504 | Elaine F Pratt | Nurse Practitioner | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-02-17 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1154638815 | Mahreen Raza | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-09-01 |
| 1568775419 | Stacey Lynn Johnson | Social Worker | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128813 | Perfect Care, Inc. | Case Management | 36 Hartland St, Hartford, CT 06112-1128 | 2019-01-31 |
| 1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
| 1598102287 | Josiah Services Unlimited LLC | Case Management | 880 Asylum Ave Ste 3, Hartford, CT 06105-1973 | 2013-06-04 |
| 1568807519 | Lifetime Autistic Homecare, LLC | Case Management | 54 Wells Ave, Hartford, CT 06108-2269 | 2013-05-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1811255375 | Beacon Light Alternative Services | Case Management | 70 Forest St, Hartford, CT 06105-3204 | 2012-05-02 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1588946917 | Mayflower Quality Care | Case Management | 210 Plainfield St, Hartford, CT 06112-1364 | 2011-09-12 |
| 1801176664 | Northend Community Counseling Center | Case Management | 140 Huyshope Ave, 512, Hartford, CT 06106-2857 | 2011-08-25 |
| 1992155691 | Michael Scott Walker | Case Management | 330 Market St, Hartford, CT 06120-2901 | 2016-06-14 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.