HAMDEN INJURY REHABILITATION CENTER, INC. Full NPI Record 1750652285
Clinic/Center - Medical Specialty in Hamden, CT

Complete NPI Dataset

The following table represents the complete NPI 1750652285 dataset for Hamden Injury Rehabilitation Center, Inc. in 1700 DIXWELL AVE HAMDEN, CT 06514. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1750652285The last name of the provider. If the provider is an individual, this is the legal name.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameHAMDEN INJURY REHABILITATION CENTER, INC.The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing AddressPO BOX 4138The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Business Mailing Address City NameHAMDENThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameCTThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code065140138The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number2032887300The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number2036724475The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address1700 DIXWELL AVEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHAMDENThe city name in the location address of the provider being identified.


Provider Business Practice Location Address State NameCTThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code065143147The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number2032887300The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2036724475The fax number associated with the location address of the provider being identified.
Provider Enumeration Date1/13/2012The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date1/13/2012The date that a record was last updated or changed.
Authorized Official Last NameBARONEThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameMICHAELThe first name of the authorized official.
Authorized Official Middle NameROBERTThe middle name of the authorized official.
Authorized Official Title or PositionPRESIDENTThe title or position of the authorized official.
Authorized Official Telephone Number2032887300The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1261QM2500XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1000627The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1CTThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Organization SubpartN
Authorized Official Name Prefix TextDR.
Authorized Official Name Suffix TextJR.
Authorized Official Credential TextD.C.