HEALTHCARE UNIT SOUTHBURY TRAINING SCHOOL (NPI# 1205096054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205096054 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE UNIT SOUTHBURY TRAINING SCHOOL |
| Practice Address |
1 Pierce Hollow Road Southbury CT 06488 |
| Mailing Address |
1461 South Britain Road Southbury CT 06488 |
| Practice Telephone | 2035864619 |
| Mailing Telephone | 2935862419 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. VICTOR VIRGIL WATERS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2035862419 |
| Authorized Official Credential | MD |
| 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 | 046500 | CT | Residential Treatment Facilities |
| Street Address |
1 PIERCE HOLLOW ROAD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| 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 |
| 1053945659 | Community Social Integration, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2666 State St Ste 6, Hamden, CT 06517-2232 | 2020-02-24 |
| 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 |
| 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.