Healthcare Provider Details

I. General information

NPI: 1912039132
Provider Name (Legal Business Name): THE CARING COMMUNITY OF CONNECTICUT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 TRYON ST
SOUTH GLASTONBURY CT
06073-2024
US

IV. Provider business mailing address

84 WATERHOLE RD
COLCHESTER CT
06415-2323
US

V. Phone/Fax

Practice location:
  • Phone: 860-633-1318
  • Fax:
Mailing address:
  • Phone: 860-267-4463
  • Fax: 860-267-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateCT

VIII. Authorized Official

Name: MRS. MICHELLE L GRANT
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 860-267-4463