Provider Demographics
NPI:1265590871
Name:THE CONNECTICUT INSTITUTE FOR THE BLIND INC.
Entity type:Organization
Organization Name:THE CONNECTICUT INSTITUTE FOR THE BLIND INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER & CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEIBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-769-3839
Mailing Address - Street 1:120 HOLCOMB STREET
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112
Mailing Address - Country:US
Mailing Address - Phone:860-242-2274
Mailing Address - Fax:
Practice Address - Street 1:33 COVENTRY ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-1511
Practice Address - Country:US
Practice Address - Phone:860-242-2274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT014315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000061143Medicaid
CT000061473Medicaid
CT000066185Medicaid
CT000060509Medicaid
CT000061556Medicaid
CT000066060Medicaid
CT000066086Medicaid
CT000062183Medicaid
CT000062646Medicaid
CT000066052Medicaid
CT000062761Medicaid
CT000066135Medicaid
CT000060492Medicaid
CT000062323Medicaid
CT000066151Medicaid
CT000062977Medicaid