COMMUNITY RESIDENCES, INC.
NPI 1104021443
Intermediate Care Facility, Intellectual Disabilities in Winsted, CT

NPI Status: Active since June 18, 2007

Contact Information

166 SPENCER HILL RD
WINSTED, CT
ZIP 06098
Phone: (860) 738-9443

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About COMMUNITY RESIDENCES, INC.

This page provides the complete NPI Profile along with additional information for Community Residences, Inc., a provider established in Winsted, Connecticut operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1104021443 assigned on June 2007. The practitioner's primary taxonomy code is 315P00000X with license number R-1053 (CT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Paul Rosin (Executive Director)

NPI
1104021443
Provider Name
COMMUNITY RESIDENCES, INC.
Entity Type
Organization
Location Address
166 SPENCER HILL RD WINSTED, CT 06098
Location Phone
(860) 738-9443
Mailing Address
732 WEST ST SUITE 12 SOUTHINGTON, CT 06489
Mailing Phone
(860) 621-7600
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
R-1053
License State
CT
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL ROSIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(860) 621-7600

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104021443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210402248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 2 + 2 + 4 + 8 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1104021443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104021443, enumerated in the NPI registry as an "organization" on June 18, 2007

The provider is located at 166 Spencer Hill Rd Winsted, Ct 06098 and the phone number is (860) 738-9443

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

This NPI record was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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