REM CONNECTICUT COMMUNITY SERVICES (NPI# 1508999889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508999889 |
| Entity Type | Organization |
| Organization Name | REM CONNECTICUT COMMUNITY SERVICES |
| Practice Address |
440 Middlefield Street Middletown CT 06457 |
| Practice Telephone | 8607040360 |
| Practice Fax Number | 8607048056 |
| Mailing Telephone | 8607040360 |
| Mailing Fax Number | 8607048056 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MS. JUDY KAY GEBBEN (STATE DIRECTOR) |
| Authorized Official Telephone | 8607040360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
R-1013 | CT | Nursing & Custodial Care Facilities |
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | CT | Agencies | |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PENDING | 05 |
| Street Address |
440 MIDDLEFIELD STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1033552021 | Amanda Deaton | Custodial Care Facility | 3108 Seneca St, Middletown, OH 45044-7754 | 2013-04-10 |
| 1659515146 | Golden Eagles Senior Day Care Center, Inc | Custodial Care Facility | 105 Sleepy Hollow Dr Ste C, Middletown, DE 19709-5840 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579788 | Angelic Nursing & Home Care Registry, Inc. | Custodial Care Facility | 65 E Center St, Manchester, CT 06040-5201 | 2019-07-02 |
| 1992245138 | T & B Business, LLC | Custodial Care Facility | 447 Broad St, Meriden, CT 06450-5841 | 2017-03-07 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1013206028 | Empowerment Through Art, Inc. | Custodial Care Facility | 98 Courtland Cir Unit 3, Stamford, CT 06902-4303 | 2011-03-30 |
| 1811131196 | Connecticut Health Care Inc | Custodial Care Facility | 588 Ocean Ave, West Haven, CT 06516-7109 | 2009-04-30 |
| 1437300969 | Stamford Elderly Housing Corporation | Custodial Care Facility | 614 Scofieldtown Rd, Stamford, CT 06903-2805 | 2008-10-02 |
| 1740497858 | Oakcliff Convalescent Home | Custodial Care Facility | 71 Plaza Ave, Waterbury, CT 06710-1504 | 2007-05-17 |
| 1366658742 | United Community & Family Services, Inc. | Custodial Care Facility | 165 Mckinley Ave, Norwich, CT 06360-3509 | 2007-05-15 |
| 1174900682 | Shelby Lynn Malinowski | Custodial Care Facility | 745 Main St, East Hartford, CT 06108-3115 | 2015-05-05 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.