COMMUNITY SOCIAL INTEGRATION, LLC – NPI #1053945659
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

COMMUNITY SOCIAL INTEGRATION, LLC is a community based residential treatment facility located in HAMDEN, CT. NPPES has assigned the NPI number 1053945659 to COMMUNITY SOCIAL INTEGRATION, LLC on February 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY SOCIAL INTEGRATION, LLC below.

NPI Profile for
COMMUNITY SOCIAL INTEGRATION, LLC

NPI Number
1053945659
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY SOCIAL INTEGRATION, LLC
Primary location
2666 STATE ST STE 6
HAMDEN, CT 06517-2232
Phone: (203) 287-1543 Fax: (203) 407-1625
1 Other location(s):
1972 Don Juan Ln
Decatur, GA 30032-4217
Phone: (203) 980-5479
Fax: (203) 407-1625
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CURTIS GIBSON
OWNER
Phone: (203) 980-5479
Updated
Certification Date
Feb 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COMMUNITY SOCIAL INTEGRATION, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003212605A
MEDICAIDGA003212605B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.