CONNECTICUT RENAISSANCE, INC – NPI #1649321696
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

CONNECTICUT RENAISSANCE, INC is a substance abuse rehabilitation facility located in WATERBURY, CT. NPPES has assigned the NPI number 1649321696 to CONNECTICUT RENAISSANCE, INC on January 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 7 years ago on Jul 08, 2019. 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 CONNECTICUT RENAISSANCE, INC below.

NPI Profile for
CONNECTICUT RENAISSANCE, INC

NPI Number
1649321696
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
CONNECTICUT RENAISSANCE, INC
Primary location
31 WOLCOTT ST
WATERBURY, CT 06702-1727
Phone: (203) 753-2341 Fax: (203) 755-6902
Mailing address
1 WATERVIEW DR STE 202
SHELTON, CT 06484-4368
Phone: (203) 336-5225 Fax: (203) 336-2851
Organization Subpart
Yes - CONNECTICUT RENAISSANCE, INC is subpart of another organization.
Authorized Official
JOY PENDOLA
COO
Phone: (203) 336-5225
Updated
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-0056

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.