OrganizationActive
State of Ct. - Office of the Comptroller
NPI 1710015292 · Intellectual Disabilities Intermediate Care Facility · Southbury, CT
Provider details
- NPI number
- 1710015292
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Jerard, Chief Financial Officer(860) 418-8712
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1461 South Britain Rd.
Southbury, CT 06488-1139
Phone: (203) 586-2000
Fax: (203) 586-2700
Approximate (ZIP-level) locationGet directions
Mailing address
1461 S Britain Rd
Southbury, CT 06488-1177
Other names (DBA / former)
- Doing business as
- Sts Cottage 5 Liberty Lane
- Doing business as
- Sts Cottage 7 Yankee Dr.
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.