1144420456 NPI number — LITCHFIELD ASSOC. FOR RETARDED CITIZENS

Table of content: (NPI 1144420456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144420456 NPI number — LITCHFIELD ASSOC. FOR RETARDED CITIZENS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LITCHFIELD ASSOC. FOR RETARDED CITIZENS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144420456
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
314 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TORRINGTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06790-5055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-482-9364
Provider Business Mailing Address Fax Number:
860-489-2492

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 BERTOLI DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITCHFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06759-2715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-567-9311
Provider Business Practice Location Address Fax Number:
860-567-0463
Provider Enumeration Date:
07/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CASSELLA
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
860-482-9364

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com