Intercommunity, Inc., NPI 1164580379
Substance Abuse Rehabilitation Facility in Hartford, CT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164580379 |
| NPI Entity Type | Organization |
| Provider Name |
Intercommunity, Inc.
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 16 Coventry Street, Hartford, CT, US |
| Provider Mailing Address | 111 Founders Plaza, Suite 1802, East Hartford, CT, US, 06108 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | LCSW Kimberly L Beauregard |
| Official Position | PRESIDENT & CEO |
| Phone | 860-291-1340 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| License No. | SA-0201 |
| License State | CT |
| Description | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| SA-0159 | CT | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| CTGA000422 | CT | SAGA | 01 |
| 004134730 | CT | MEDICAID | 05 |
| 004042065 | CT | MEDICAID | 05 |
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