State of Connecticut
NPI 1144366493ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Southbury, CT
Intermediate Care Facility, Intellectual Disabilities in Southbury, Connecticut, registered in NPPES in January 2007. The authorized official on file is Eugene Harvey, Director.
Overview
| NPI | 1144366493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Jan 15, 2020 |
| Certified by provider | Jan 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 42 Intermediate Care Facility, Intellectual Disabilities providers in Southbury · All Intermediate Care Facility, Intellectual Disabilities providers in Connecticut