INTERCOMMUNITY, INC. – NPI #1164580379
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

INTERCOMMUNITY, INC. is a substance abuse rehabilitation facility located in HARTFORD, CT. NPPES has assigned the NPI number 1164580379 to INTERCOMMUNITY, INC. on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is INTERCOMMUNITY RECOVERY CENTERS. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Jun 16, 2018. 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 INTERCOMMUNITY, INC. below.

NPI Profile for
INTERCOMMUNITY, INC.

NPI Number
1164580379
Enumeration Date

(more than 19 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
INTERCOMMUNITY, INC.
Former Legal Business Name: INTERCOMMUNITY RECOVERY CENTERS
Other name(s)
All associated names:
Former Legal Business Name
INTERCOMMUNITY RECOVERY CENTERS
Doing Business As (dba)
Outpatient Counseling Center
Primary location
16 COVENTRY STREET
HARTFORD, CT 06112
Phone: (860) 714-3701 Fax: (860) 714-8974
Mailing address
111 FOUNDERS PLAZA
SUITE 1802
EAST HARTFORD, CT 06108
Phone: (860) 714-3701 Fax: (860) 714-8974
Organization Subpart
No
Authorized Official
KIMBERLY BEAUREGARD
PRESIDENT & CEO
Phone: (860) 291-1340
Updated
Identifiers

Identifiers for INTERCOMMUNITY, INC.

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
OTHERSAGACTCTGA000422
MEDICAIDCT004042065
MEDICAIDCT004134730
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 CT SA-0201
261QM0850X
- Clinic/Center / Adult Mental Health		 CT SA-0159

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.