Meditox Care, LLC · Psychiatric Residential Treatment Facility

5 Harbor Pkwy, Clinton, CT 06413-2606

Overview

Meditox Care, LLC is a Psychiatric Residential Treatment Facility (organization) practicing in Clinton, Connecticut. The National Provider Identifier (NPI) is #1003788233, which was assigned on September 18, 2025, and the registration record was last updated on September 18, 2025. The practitioner's main practice location is at 5 Harbor Pkwy, Clinton, CT 06413-2606; the contact telephone number is 2034504882. The primary taxonomy of Meditox Care, LLC is Psychiatric Residential Treatment Facility (323P00000X). The authorized official for Meditox Care, LLC is Mohamed Elsamra (Owner).

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Provider Information

NPI 1003788233
Entity Type Organization
Organization Name MEDITOX CARE, LLC
Provider Name MEDITOX CARE, LLC
Practice Address 5 Harbor Pkwy
Clinton
CT 06413-2606
Practice Telephone 2034504882
Mailing Address 5 Harbor Pkwy
Clinton
CT 06413-2606
Mailing Telephone 2034504882
Certification Date 2025-09-18
Enumeration Date 2025-09-18
Last Update Date 2025-09-18
Is Organization Subpart Y
Parent Organization Legal Business Name MEDITOX CARE, LLC

Authorized Official Information

Official Name MOHAMED ELSAMRA
Official Title OWNER
Telephone 2038873890

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y323P00000XPsychiatric Residential Treatment Facility

Taxonomy Information

Primary Taxonomy

Code 323P00000X
Taxonomy Psychiatric Residential Treatment Facility
Classification Psychiatric Residential Treatment Facility
Grouping Residential Treatment Facilities
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

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Location Information

Street Address 5 HARBOR PKWY
City CLINTON
State CT
Zip Code 06413-2606
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Savannah Skidmore 33 Uncas Rd, Clinton, CT 06413-2314Student in an Organized Health Care Education/Training Program2025-09-19
Nadin Khalifa 7 Fairy Dell Rd, Clinton, CT 06413-2403Clinical Social Worker2025-04-15
Amelia R Farnham 24 Tower Hill Rd, Clinton, CT 06413-1201Pharmacotherapy Pharmacist2025-05-06
Christine Santamaria 10 Bluff Ave Ste 115, Clinton, CT 06413-2255Clinical Social Worker2025-10-28
Michael Cartwright Sr. 246 E Main St, Unit 1, Clinton, CT 06413-2245Prosthetic/Orthotic Supplier2008-06-06
Ptsma, Inc. 215 E Main St, Clinton, CT 06413-2200Rehabilitation Clinic/Center2020-11-30
Regina Moller 16 Tidewater Ln, Clinton, CT 06413-2726Addiction (Substance Use Disorder) Counselor2012-03-29
Clinton Human Services 48 E Main St, Clinton, CT 06413-2035Professional Counselor2020-09-01
Alexis Larowe Schuchmann · Alexis Marie Larowe 10 Bluff Ave Ste 115, Clinton, CT 06413-2255Clinical Social Worker2017-05-24
Carissa Mccomiskey 15 Elsie Ln, Clinton, CT 06413-1111Occupational Therapist2025-09-15
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.