CONNECTICUT CENTER FOR RECOVERY, LLC
NPI 1073143152
Substance Abuse Rehabilitation Facility in Greenwich, CT

NPI Status: Active since January 17, 2020

Contact Information

177 W PUTNAM AVE FL 1
GREENWICH, CT
ZIP 06830
Phone: (203) 350-3100
Fax: (203) 418-7500

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 07D2179265
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH
  • CLIA Exp. Date: 02-18-2026

About CONNECTICUT CENTER FOR RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for Connecticut Center For Recovery, Llc, a provider established in Greenwich, Connecticut operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073143152 assigned on January 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Justin Dufour (Owner)

NPI
1073143152
Provider Name
CONNECTICUT CENTER FOR RECOVERY, LLC
Entity Type
Organization
Location Address
177 W PUTNAM AVE FL 1 GREENWICH, CT 06830
Location Phone
(203) 350-3100
Location Fax
(203) 418-7500
Mailing Address
177 W PUTNAM AVE FL 1 GREENWICH, CT 06830
Mailing Phone
(203) 350-3100
Mailing Fax
(203) 418-7500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2020
Last Update Date
05-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN DUFOUR

Authorized Official Title
OWNER
Authorized Official Phone
(203) 350-3100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2179265
Facility Type
Other - BEHAVIORAL HEALTH
Certificate Effective Date
February 19, 2024
Certificate Expiration Date
February 18, 2026
Laboratory Director
JOHN R. MEYERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connecticut Center For Recovery, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073143152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143246110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 2 + 4 + 6 + 1 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1073143152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073143152, enumerated as an "organization" on January 17, 2020.

The provider is located at 177 W PUTNAM AVE FL 1 GREENWICH, CT 06830 and the phone number is (203) 350-3100.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.