1. Home
  2. Directory
  3. Connecticut
  4. Waterbury
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

PRIMECARE, INC
NPI 1366830838
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waterbury, CT

Active since January 06, 2015
562 WATERTOWN AVE, WATERBURY, CT 06708(203) 597-8525 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primecare, Inc NPPES

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

PRIMECARE, INC (NPI 1366830838) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Waterbury, Connecticut and active in the NPI registry since January 2015. The organization lists James Michael Kelly, Mangement Agent, as its authorized official.

NPPES Registry Identity

NPI1366830838
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePRIMECARE, INC
Location Address562 WATERTOWN AVEWaterbury, CT 06708-2240
Mailing Address562 Watertown Ave, #3Waterbury, CT 06708-2240 · (203) 597-8525
Phone(203) 597-8525
Organization SubpartNo
Authorized OfficialJames Michael KellyMangement Agent · (203) 597-8525
Enumeration DateJanuary 6, 2015
✔ NPI 1366830838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
562 WATERTOWN AVE, Waterbury, CT 06708
Open in Google Maps ↗

Other Identifiers 1

Medicaid63659CT

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 Primecare, Inc's NPI number?

The NPI number for Primecare, Inc is 1366830838. It was assigned to this organization in the NPPES registry on January 6, 2015.

Where is Primecare, Inc located?

Primecare, Inc is located at 562 Watertown Ave, Waterbury, CT 06708. The listed phone number is (203) 597-8525.

What is Primecare, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Primecare, Inc was last updated on January 6, 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.