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NEW CANAAN GROUP HOME INC
NPI 1871101733
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Canaan, CT

Active since July 16, 2020
162 SOUTH AVE, NEW CANAAN, CT 06840(203) 846-9581(203) 847-0545 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Canaan Group Home Inc NPPES

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

NEW CANAAN GROUP HOME INC (NPI 1871101733) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in New Canaan, Connecticut and active in the NPI registry since July 2020. The organization lists Katie J Banzhaf, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871101733
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNEW CANAAN GROUP HOME INC
Location Address162 SOUTH AVENew Canaan, CT 06840-5728
Mailing Address162 South AveNew Canaan, CT 06840-5728 · (203) 846-9581 · Fax (203) 847-0545
Phone(203) 846-9581
Fax(203) 847-0545
Organization SubpartNo
Authorized OfficialKatie J BanzhafExecutive Director · (203) 846-9581
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1871101733 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.
162 SOUTH AVE, New Canaan, CT 06840
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Other Names 1

Other NameSouth Avenue Cottage

Other Identifiers 1

Other002900CT · Dds License Number

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 New Canaan Group Home Inc's NPI number?

The NPI number for New Canaan Group Home Inc is 1871101733. It was assigned to this organization in the NPPES registry on July 16, 2020. The provider is also known as South Avenue Cottage.

Where is New Canaan Group Home Inc located?

New Canaan Group Home Inc is located at 162 South Ave, New Canaan, CT 06840. The listed phone number is (203) 846-9581.

What is New Canaan Group Home 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 New Canaan Group Home Inc was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.