State Of Ct. - Office Of The Comptroller
Intermediate Care Facility, Intellectual Disabilities in Southbury, CT. Organization (NPI-2).
NPI number1164550422
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1164550422
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Ct. - Office Of The Comptroller
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Sts Cottage 41 (Doing Business As)
Practice location
1461 South Britain Rd.Southbury, CT 06488-1139
Phone 203-586-2000 · Fax 203-586-2007
Mailing address
1461 S Britain RdSouthbury, CT 06488-1177
Phone 203-586-2000 · Fax 203-586-2700
Authorized official
Nicholas Jerard
Fiscal Administrator
8604188712
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All 42 Intellectual Disabilities Intermediate Care Facility providers in Southbury · All 727 providers in Southbury
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