CONNECTICUT RENAISSANCE, INC. (NPI# 1700352721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700352721 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT RENAISSANCE, INC. |
| Practice Address |
527 Wolcott St Waterbury CT 06705-1240 |
| Mailing Address |
1 Waterview Dr Ste 202 Shelton CT 06484-4368 |
| Practice Telephone | 2033365225 |
| Mailing Telephone | 2033365225 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | MRS. JOYCE MARIE BUNOVSKY-BELL (BILLING MANAGER) |
| Authorized Official Telephone | 2033365225 |
| Authorized Official Credential | BILLING MANAGER |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT RENAISSANCE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194069708 | Connecticut Renaissance, Inc. | Clinic/Center | 1126 Main St, Bridgeport, CT 06604-4404 | 2012-11-20 |
| 1700893807 | Connecticut Renaissance, Inc. | Clinic/Center | 141 Franklin St, Stamford, CT 06901-1014 | 2006-08-02 |
| 1144510694 | Connecticut Renaissance, Inc. | Clinic/Center | 17 High St, Norwalk, CT 06851-4723 | 2011-04-18 |
| 1669617973 | Connecticut Renaissance, Inc. | Clinic/Center | 70 Central Ave, Waterbury, CT 06702-1207 | 2008-12-16 |
| 1215188826 | Connecticut Renaissance, Inc. | Counselor | 115 Middle St, Bridgeport, CT 06604-4410 | 2008-10-02 |
| 1720130362 | Connecticut Renaissance, Inc. | Clinic/Center | 1 Lafayette Cir, Bridgeport, CT 06604-6021 | 2007-01-16 |
| 1740297845 | Connecticut Renaissance, Inc. | Clinic/Center | 1120 Main St, Bridgeport, CT 06604-4404 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT RENAISSANCE, INC | 1 Waterview Dr Ste 202, Shelton, CT 06484-4368 |
| Connecticut Business Registrations | CONNECTICUT RENAISSANCE, INC. | 350 Fairfield Ave., Ste. 701, Bridgeport, CT 06604 |
| Street Address |
527 WOLCOTT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780476 | Henry Francis Carisio | Registered Nurse | 527 Wolcott St, Waterbury, CT 06705-1240 | 2007-01-29 |
| 1962548206 | Janet Mary Zabit-morin | Registered Nurse | 527 Wolcott St, Waterbury, CT 06705-1240 | 2007-01-30 |
| 1508903725 | Margaret Mary Simpson | Registered Nurse | 527 Wolcott St, Waterbury, CT 06705-1240 | 2007-01-30 |
| 1407992589 | Elizabeth Anne Carisio | Licensed Practical Nurse | 527 Wolcott St, Waterbury, CT 06705-1240 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1336407915 | Wellmore, Inc | Clinic/Center | 142 Griggs St, Waterbury, CT 06704-3110 | 2012-05-02 |
| 1871619676 | Connecticut Counseling Centers Inc | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1053501684 | Helping Hand Center Inc. | Clinic/Center | 1124 Iranistan Avenue, Helping Hand Center, Bridgeport, CT 06605-1121 | 2007-07-30 |
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1265449359 | Connecticut Renaissance, Inc | Clinic/Center | 4 Byington Pl, Norwalk, CT 06850-3309 | 2006-08-02 |
| 1669944724 | Progressive Institute LLC | Clinic/Center | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | 2018-12-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1982155859 | Apt Foundation Inc. | Clinic/Center | 184 Front Ave, West Haven, CT 06516-2836 | 2016-10-17 |
| 1801241880 | Arc In Home Addiction Treatment, P.C. | Clinic/Center | 556 Washington Ave, Suite 201, North Haven, CT 06473-1149 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
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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.