OrganizationActive
Community Residences, Inc.
NPI 1295930725 · Intellectual Disabilities Intermediate Care Facility · Bristol, CT
Provider details
- NPI number
- 1295930725
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Paul Rosin, Executive Director
- License
- R-368 (CT)
Mailing address
732 West St
Southington, CT 06489-2329
Registry dates
- Enumerated
- 2007-06-15
- 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.