Ellen Riccardi, Llc

LBN: Ellen Riccardi, Llc
Ellen Riccardi, Llc is an health care organization with primary practice located at 1214 Post Rd , Fairfield CT 06824-6008. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Ellen Riccardi, Llc can be contacted via phone (973) 879-8289, or through Cullen, Grace via phone (203) 368-5515.

Contact Information

Primary practice address
1214 Post Rd Fairfield CT 06824-6008
Phone: (973) 879-8289
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cullen, Grace
Phone: (203) 368-5515

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1184270571
LBN Legal business name Ellen Riccardi, Llc
DBA Doing business as
Authorized official Cullen, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2019
Last updated Aug 13th, 2019 - about 7 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 1184270571 NPPES
Connecticut MEDICAID 004069985

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