CT RENAISSANCE – NPI #1669617973
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

CT RENAISSANCE is a substance abuse rehabilitation facility located in WATERBURY, CT. NPPES has assigned the NPI number 1669617973 to CT RENAISSANCE on December 16, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CT RENAISSANCE” is a dba name, the actual legal business name for this organization is CONNECTICUT RENAISSANCE, INC.. 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 4 years ago on Jun 30, 2022. 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 CT RENAISSANCE below.

NPI Profile for
CONNECTICUT RENAISSANCE, INC.

NPI Number
1669617973
Enumeration Date

(more than 17 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.
Doing Business As (dba): CT RENAISSANCE
Primary location
70 CENTRAL AVE
WATERBURY, CT 06702-1207
Phone: (203) 346-1931 Fax: (203) 346-1935
Mailing address
1 WATERVIEW DR STE 202
SHELTON, CT 06484-4368
Phone: (203) 336-5225 Fax:
Organization Subpart
No
Authorized Official
DAWN PATSTON
CHIEF OPERATING OFFICER
Phone: (203) 336-5225
Updated
Certification Date
Jun 30, 2022

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 CT RENAISSANCE

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
MEDICAIDCT008031644
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)
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)		 CT 0449

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.