STRATFORD
NPI 1063617397
Assisted Living Facility in Stratford, CT
About Stratford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STRATFORD (NPI 1063617397) is a healthcare organization registered as an assisted living facility in Stratford, Connecticut and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Rachelle K Becker, Accounts Receivable Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2200139
Stratford Board Of Education School Health Centers · Stratford, CTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stratford's NPI number?
The NPI number for Stratford is 1063617397. It was assigned to this organization in the NPPES registry on June 18, 2007.
Where is Stratford located?
Stratford is located at 6911 Main St, Stratford, CT 06614. The listed phone number is (203) 380-0006.
What is Stratford's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Stratford hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2200139) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Stratford was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stratford · NPI 1063617397
Assisted Living Facility organization in Stratford, Connecticut. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1063617397 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Rachelle Becker, ACCOUNTS RECEIVABLE SUPERVISOR
## Practice location
- **Address:** 6911 MAIN ST, Stratford, CT 06614-1360
- **Phone:** (203) 380-0006
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063617397) · Data from the CMS NPPES public registry.