INTERCOMMUNITY, INC.
NPI 1164580379
Substance Abuse Rehabilitation Facility in Hartford, CT
NPI Status: Active since December 04, 2006
Contact Information
16 COVENTRY STREET
HARTFORD, CT
ZIP 06112
Phone: (860) 714-3701
Fax: (860) 714-8974
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 07D2035359
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-01-2027
About INTERCOMMUNITY, INC.
This page provides the complete NPI Profile along with additional information for Intercommunity, Inc., a provider established in Hartford, Connecticut operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1164580379 assigned on December 2006. The practitioner's primary taxonomy code is 324500000X with license number SA-0201 (CT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's former legal business name is Intercommunity Recovery Centers. The authorized official of this NPI record is Kimberly L Beauregard Lcsw (President & Ceo)
- NPI
- 1164580379
- Provider Legal Name
- INTERCOMMUNITY, INC.
- Other Organization Name
- INTERCOMMUNITY RECOVERY CENTERS
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 16 COVENTRY STREET HARTFORD, CT 06112
- Location Phone
- (860) 714-3701
- Location Fax
- (860) 714-8974
- Mailing Address
- 111 FOUNDERS PLAZA SUITE 1802 EAST HARTFORD, CT 06108
- Mailing Phone
- (860) 714-3701
- Mailing Fax
- (860) 714-8974
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2006
- Last Update Date
- 06-16-2018
- Code Navigator
Location Map
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
- License No.
- SA-0201
- License State
- CT
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | SA-0159 (CT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004042065 | MEDICAID (05) | CT | |
| 004134730 | MEDICAID (05) | CT | |
| CTGA000422 | OTHER (01) | CT | SAGA |
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
- 07D2035359
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 02, 2025
- Certificate Expiration Date
- August 01, 2027
- Laboratory Director
- CHAD MCDONALD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Intercommunity, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164580379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164580379, enumerated as an "organization" on December 04, 2006.
The provider is located at 16 COVENTRY STREET HARTFORD, CT 06112 and the phone number is (860) 714-3701.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
