Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Other names
STS Cottage 17
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESCENTINO SECCHIAROLI (FISCAL ADMINISTRATOR)
(860) 418-8712
Entity
Organization
Contact information
Practice address
1461 SOUTH BRITAIN RD., SOUTHBURY, CT 06488-1139
(203) 586-2000
(203) 586-2700
Mailing address
PO BOX 872, SOUTHBURY, CT 06488-0901
(203) 586-2000
(203) 586-2700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006782015
—
CT
01
—
C00793
MEDICARE ID - TYPE UNSPECIFIED
CT
Enumeration date
02/14/2007
Last updated
03/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up