MAYFLOWER QUALITY CARE LLC. (NPI# 1366889842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366889842 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER QUALITY CARE LLC. |
| Other Organization Name | MAYFLOWER QUALITY CARE LLC. |
| Practice Address |
210 Plainfield St Hartford CT 06112-1364 |
| Practice Telephone | 8698177589 |
| Practice Fax Number | 8602199465 |
| Mailing Telephone | 8698177589 |
| Mailing Fax Number | 8602199465 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | MR. DUANE EDWARD MACK (PRESIDENT) |
| Authorized Official Telephone | 8608177589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | HCA.0000752 | CT | Agencies |
| Other Name | Type Code |
|---|---|
| Mayflower Quality Care LLC. | Doing Business As Name - Organization |
| Street Address |
210 PLAINFIELD ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588946917 | Mayflower Quality Care | Case Management | 210 Plainfield St, Hartford, CT 06112-1364 | 2011-09-12 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163725 | Faerieland LLC | Community/Behavioral Health | 470 Edgewood St Fl 2, Hartford, CT 06112-1917 | 2020-04-24 |
| 1528691524 | Smith Counseling and Consulting Services, LLC | Community/Behavioral Health | 39 Natick St, Hartford, CT 06106-4029 | 2020-02-18 |
| 1528610979 | Storybook Counseling LLC | Community/Behavioral Health | 664 Prospect Ave Fl 22nd, Hartford, CT 06105-4203 | 2019-07-15 |
| 1679031140 | Phetsamon Dilullo | Community/Behavioral Health | 25 Clermont St, Hartford, CT 06106-3904 | 2019-03-04 |
| 1821563099 | Frank Ngo | Community/Behavioral Health | 39 Allendale Rd, Hartford, CT 06106-3502 | 2018-10-03 |
| 1669919130 | Capitol Region Education Council | Community/Behavioral Health | 15 Van Dyke Ave, Crec Two Rivers High School, Hartford, CT 06106-2879 | 2017-01-23 |
| 1801348016 | Nalej of Self | Community/Behavioral Health | 19 Arlington St, Hartford, CT 06106-4004 | 2016-11-04 |
| 1093185050 | Kathleen M. Friend Lmft LLC | Community/Behavioral Health | 1 Congress St Ste 210, Hartford, CT 06114-1067 | 2015-10-03 |
| 1396159786 | Self Injury Awareness Network, Inc. | Community/Behavioral Health | 18-20 Trinity St, C/o Ct Asian Pacific American Commission, Hartford, CT 06106-1600 | 2014-06-13 |
| 1508143819 | Northend Counseling Center | Community/Behavioral Health | 261 Barbour St, Hartford, CT 06120-1705 | 2011-11-15 |
| 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.