OrganizationActive
New Canaan Group Home Inc
NPI 1871101733 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · New Canaan, CT
Provider details
- NPI number
- 1871101733
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Katie Banzhaf, Executive Director(203) 846-9581
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
162 South Ave
New Canaan, CT 06840-5728
Phone: (203) 846-9581
Fax: (203) 847-0545
Approximate (ZIP-level) locationGet directions
Mailing address
162 South Ave
New Canaan, CT 06840-5728
Other names (DBA / former)
- Other name
- South Avenue Cottage
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.