Healthcare Provider Details

I. General information

NPI: 1871709154
Provider Name (Legal Business Name): ROBIN'S NEST INTERGENERATIONAL DAYCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 HIGH ST
CLINTON CT
06413-1721
US

IV. Provider business mailing address

365 HORSE HILL RD
WESTBROOK CT
06498-1402
US

V. Phone/Fax

Practice location:
  • Phone: 860-664-3568
  • Fax:
Mailing address:
  • Phone: 860-399-4469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCT

VIII. Authorized Official

Name: MR. DENIS J TWIGG
Title or Position: OWNER
Credential: NHA
Phone: 860-399-4469