NPI 1104021658

Community Residences, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Canaan, CT

Practice location

Address: 25 Honey Hill Rd, Canaan, CT 06018-2005
Phone: (860) 824-7500
Mailing address: 732 West St Suite 12, Southington, CT 06489-2329

Authorised official

Name: Paul Rosin
Title: Ezecutive Director
Phone: (860) 621-7600

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence R-1059 (CT)

Other Intermediate Care Facility, Intellectual Disabilities providers in Connecticut →

Registry record

NPI: 1104021658
Entity type: Organization
NPI issued: 15 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.