OrganizationActive
State of Ct. - Office of the Comptroller
NPI 1003959685 · Intellectual Disabilities Intermediate Care Facility · Southbury, CT
Provider details
- NPI number
- 1003959685
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Crescentino Secchiaroli, Fiscal Administrator(860) 418-8712
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1461 South Britain Road
Southbury, CT 06488-1139
Phone: (203) 586-2000
Fax: (203) 586-2700
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 872
Southbury, CT 06488-1139
Other names (DBA / former)
- Doing business as
- Sts Cottage 18
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2016-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.