GRIMETIME LLC
NPI 1386472520
Prevention Professional in Wauregan, CT

Active since July 22, 2024
72 S CHESTNUT ST, WAUREGAN, CT 06387(978) 332-3401 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grimetime Llc NPPES

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

GRIMETIME LLC (NPI 1386472520) is a healthcare organization registered as a prevention professional in Wauregan, Connecticut and active in the NPI registry since July 2024. The organization lists Mustapha Mboob, Management, as its authorized official.

NPPES Registry Identity

NPI1386472520
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameGRIMETIME LLC
Location Address72 S CHESTNUT STWauregan, CT 06387-8708
Mailing AddressPo Box 35Wauregan, CT 06387-0035 · (860) 897-4438
Organization SubpartNo
Authorized OfficialMustapha MboobManagement · (978) 332-3401
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 21, 2024
NPI 1386472520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

72 S CHESTNUT ST, Wauregan, CT 06387

Other Identifiers 1

OtherN4AFC8K7B943CT · Sam.gov

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386472520, enumerated as an "organization" on July 22, 2024.

The provider is located at 72 S CHESTNUT ST WAUREGAN, CT 06387 and the phone number is (978) 332-3401.

Prevention Professional with taxonomy code 405300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.