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NPI 1033263389

OrganizationActive

State of Ct. - Office of the Comptroller

NPI 1033263389 · Intellectual Disabilities Intermediate Care Facility · Newington, CT

Provider details

NPI number: 1033263389
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

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

71 Mountain Rd

Newington, CT 06111-1508

Phone: (860) 331-2024

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

71 Mountain Rd

Newington, CT 06111-1508

Other names (DBA / former)

Doing business as: North Region-Shape House- 87 Mtn. Road

Registry dates

Enumerated: 2007-01-23
Last updated: 2016-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

State of Ct. - Office of the Comptroller — NPI 1033263389, Newington, CT | NPI Central