STATE OF CONNECTICUT


Address: 1461 South Britain Rd., Southbury, CT 06488-1139
Phone: 2035862000

STATE OF CONNECTICUT (NPI# 1467582072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467582072
Entity Type Organization
Organization Name STATE OF CONNECTICUT
Other Organization Name STS ADMINISTRATION - CROSSOVERS
Practice Address 1461 South Britain Rd.
Southbury
CT 06488-1139
Mailing Address Po Box 872
Southbury
CT 06488-0901
Practice Telephone 2035862000
Practice Fax Number 2035862700
Mailing Telephone 2035862000
Mailing Fax Number 2035862700
Enumeration Date 2007-03-06
Last Update Date 2020-01-16
Authorized Official Name EUGENE HARVEY (DIRECTOR)
Authorized Official Telephone 2035862466
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 004042263 05

Other Provider/Organization Names

Other Name Type Code
STS Administration - Crossovers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871095851 State of Connecticut Clinic/Center 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 2018-03-06
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1790974657 State of Connecticut Durable Medical Equipment & Medical Supplies 381 Hopmeadow Street, Simsbury, CT 06070 2007-10-17
1205951662 State of Connecticut Skilled Nursing Facility 287 West Street, Rocky Hill, CT 06067-3904 2007-03-21
1750459855 State of Connecticut Psychiatric Residential Treatment Facility 915 River Road, Middletown, CT 06457-3921 2006-11-30
1427074426 State of Connecticut Clinic/Center Silver Street, Dutton Home, Middletown, CT 06457 2006-07-14
1366477903 State of Connecticut Psychiatric Hospital 525 Russell Rd, Newington, CT 06111 2006-07-12
1487689022 State of Connecticut Clinic/Center 500 Vine Street, Hartford, CT 06112 2006-07-12
1841225489 State of Connecticut Clinic/Center 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 2006-07-12
1225063860 State of Connecticut Clinic/Center 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 2006-07-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STATE OF CONNECTICUT DMR 460 Capitol Ave, Hartford, CT 06106-1308

Office Location

Street Address 1461 SOUTH BRITAIN RD.
City SOUTHBURY
State CT
Zip Code 06488-1139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902946114 State of Ct.-office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-07
1629250246 Rebecca Ann Strubbe Physician Assistant 1461 South Britain Rd., Southbury, CT 06488-0901 2007-12-05
1265560569 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1568590776 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1336277698 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1164550422 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1124155973 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
1508993338 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
1326175159 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
1710015292 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962538348 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 Britain Rd S, Southbury, CT 06488-1139 2007-02-27
1750417127 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd, Southbury, CT 06488-1139 2007-02-27
1902946114 State of Ct.-office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-07
1265560569 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1568590776 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1336277698 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1164550422 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-03-01
1124155973 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
1508993338 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
1326175159 State of Ct. - Office of The Comptroller Intermediate Care Facility, Mentally Retarded 1461 South Britain Rd., Southbury, CT 06488-1139 2007-02-28
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City SOUTHBURY
Zip Code 06488

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Dataset Information

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.

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