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COMMUNITY RESIDENCES INC.
NPI 1063782662
Clinic/Center - Adolescent and Children Mental Health in Newington, CT

Active since January 12, 2012CLIA 07D0868505 · Waiver
205 KELSEY ST, UNIT 12, NEWINGTON, CT 06111(860) 878-6858(860) 665-9679 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Residences Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY RESIDENCES INC. (NPI 1063782662) is a healthcare organization registered as an adolescent and children mental health in Newington, Connecticut and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amy Maguda, Community Based Svcs Coordinator, as its authorized official.

NPPES Registry Identity

NPI1063782662
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOMMUNITY RESIDENCES INC.
Location Address205 KELSEY ST, UNIT 12Newington, CT 06111-5436
Mailing Address732 West StSouthington, CT 06489-2329 · (860) 621-7600
Phone(860) 878-6858
Fax(860) 665-9679
Organization SubpartNo
Authorized OfficialAmy MagudaCommunity Based Svcs Coordinator · (860) 878-6858
Enumeration DateJanuary 12, 2012
Last NPPES UpdateFebruary 18, 2015
✔ NPI 1063782662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in CT · OPCC68
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 0520 (CT)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 0432 (CT)
205 KELSEY ST, Newington, CT 06111
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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 07D0868505

Community Residences Inc · Southington, CT
Active · expires Aug 31, 2026
CLIA Number07D0868505
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaul M. Rosin
Laboratory Phone(860) 621-7600
Laboratory LocationCommunity Residences Inc732 West Street, Southington, CT 06489
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIEL OLUSEUN ARIMORO MD
Psychiatry & Neurology (Psychiatry)
205 KELSEY ST, SUITE 104
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-1332
A & D PROFESSIONAL HOMECARE SERVICES, INC.
Home Health
205 KELSEY ST, SUITE 104
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-2275

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 Community Residences Inc.'s NPI number?

The NPI number for Community Residences Inc. is 1063782662. It was assigned to this organization in the NPPES registry on January 12, 2012.

Where is Community Residences Inc. located?

Community Residences Inc. is located at 205 Kelsey St Unit 12, Newington, CT 06111. The listed phone number is (860) 878-6858.

What is Community Residences Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Community Residences Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0868505) is associated with this NPI, valid through August 31, 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 Community Residences Inc. was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.