Community Renewal Team, Inc.

LBN: Community Renewal Team, Inc.
Community Renewal Team, Inc. is an health care organization with primary practice located at 1921 Park St , Hartford CT 06106-2118. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Community Renewal Team, Inc. can be contacted via phone (860) 951-8770, or through Bracamonte, Anna Cecilia via phone (860) 951-8770.

Contact Information

Primary practice address
1921 Park St Hartford CT 06106-2118
Fax: (860) 233-2796
Website:
Authorized official contact:
Name: Bracamonte, Anna Cecilia MSW

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 1841301876 Connecticut

Profile Details

NPI number 1811315757
LBN Legal business name Community Renewal Team, Inc.
DBA Doing business as
Authorized official Bracamonte, Anna Cecilia MSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 28th, 2014
Last updated Mar 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811315757 NPPES
Connecticut MEDICAID 008001464

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