Healthcare Provider Details

I. General information

NPI: 1306042700
Provider Name (Legal Business Name): BHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 04/22/2020
Certification Date: 04/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 E MAIN ST
ANSONIA CT
06401-1964
US

IV. Provider business mailing address

127 WASHINGTON AVE 3RD FLOOR WEST
NORTH HAVEN CT
06473-1715
US

V. Phone/Fax

Practice location:
  • Phone: 203-736-2601
  • Fax: 203-736-2641
Mailing address:
  • Phone: 203-446-9739
  • Fax: 203-736-2641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBERTA COOK
Title or Position: PRESIDENT-CEO
Credential:
Phone: 203-446-9739