COMMUNITY SOCIAL INTEGRATION, LLC (NPI# 1053945659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053945659 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SOCIAL INTEGRATION, LLC |
| Practice Address |
2666 State St Ste 6 Hamden CT 06517-2232 |
| Practice Telephone | 2032871543 |
| Practice Fax Number | 2034071625 |
| Mailing Telephone | 2032871543 |
| Mailing Fax Number | 2034071625 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. CURTIS LAMONT GIBSON (OWNER) |
| Authorized Official Telephone | 2039805479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003212605A | 05 | |
| GA | 003212605B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1972 Don Juan Ln, Decatur, GA 300324217 | 2039805479 | 2034071625 |
| Street Address |
2666 STATE ST STE 6 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1033429972 | Heidi Outtrim | Counselor | 197 Haverford St, Hamden, CT 06517 | 2010-10-13 |
| 1265766950 | Alison E. Thurber | Social Worker | 120 Thornton Street, Hamden, CT 06517 | 2009-09-28 |
| 1487724118 | Regina J Magnetti | Social Worker | 103 Carleton St, Hamden, CT 06517 | 2006-11-09 |
| 1407947179 | Diana Congdon | Nurse Practitioner | 1844 Whitney Ave Ste 2, Hamden, CT 06517 | 2006-09-27 |
| 1477535904 | Lori Kurgan Paragas | Podiatrist | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2005-11-18 |
| 1376056705 | Cassidy Lynne Jacobs | Physician Assistant | 1952 Whitney Ave Ste 8, Hamden, CT 06517 | 2017-11-07 |
| 1891207221 | Crystal Ann Tolpa | Occupational Therapist | 200 Leeder Hill Drive, Hamden, CT 06517 | 2017-10-25 |
| Find all providers in zip 06517 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101733 | New Canaan Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 South Ave, New Canaan, CT 06840-5728 | 2020-07-16 |
| 1922471028 | Engel Ramos | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 237 Victoria Rd, Hartford, CT 06114-2800 | 2015-11-11 |
| 1366830838 | Primecare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 562 Watertown Ave, Waterbury, CT 06708-2240 | 2015-01-06 |
| 1427399708 | Elegant, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 448 Spring St, Windsor Locks, CT 06096-1743 | 2013-03-11 |
| 1205096054 | Healthcare Unit Southbury Training School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Pierce Hollow Road, Southbury, CT 06488 | 2008-06-16 |
| 1265047567 | Virtual Therapeutic Connect LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 85 Camp Ave Apt 11d, Stamford, CT 06907-1840 | 2020-09-14 |
| 1588842389 | Ability Beyond Disabillity | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Squire Ct, Brookfield, CT 06804-3727 | 2008-02-04 |
| 1245372754 | Amy Jo Podgorski | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 91 Northwest Dr, Plainville, CT 06062-1534 | 2007-02-12 |
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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.