OrganizationActive
Community Residences, Inc.
NPI 1104021443 · Intellectual Disabilities Intermediate Care Facility · Winsted, CT
Provider details
- NPI number
- 1104021443
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Rosin, Executive Director(860) 621-7600
- License
- R-1053 (CT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
166 Spencer Hill Rd
Winsted, CT 06098-2215
Phone: (860) 738-9443
Approximate (ZIP-level) locationGet directions
Mailing address
732 West St
Southington, CT 06489-2329
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.