Healthcare Provider Details

I. General information

NPI: 1063206928
Provider Name (Legal Business Name): BUTTERFLY HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BUSHY HILL RD
DEEP RIVER CT
06417-1561
US

IV. Provider business mailing address

140 BUSHY HILL RD
DEEP RIVER CT
06417-1561
US

V. Phone/Fax

Practice location:
  • Phone: 860-391-9878
  • Fax:
Mailing address:
  • Phone: 860-391-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BOBBIANNE ELIZABETH STAMBAUGH
Title or Position: CEO
Credential: CNA, RBT
Phone: 860-391-9878