HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP (NPI# 1134152432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134152432 |
| Entity Type | Organization |
| Organization Name | HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP |
| Other Organization Name | THE RESERVOIR CARE AND REHABILITATION CENTER |
| Practice Address |
1 Emily Way West Hartford CT 06107-3136 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 8605617022 |
| Practice Fax Number | 8603135434 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2203-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 21668 | 05 |
| Other Name | Type Code |
|---|---|
| The Reservoir Care and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922031228 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2006-07-09 |
| 1770515256 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 36 Firetown Rd, Simsbury, CT 06070-1965 | 2006-07-07 |
| 1629005079 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 850 Mix Ave, Hamden, CT 06514-2102 | 2006-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
1 EMILY WAY |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078351 | Susan Fagan | Physical Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2006-01-26 |
| 1801401393 | Natalia D Orosco | Occupational Therapy Assistant | 1 Emily Way, West Hartford, CT 06107-3136 | 2020-09-10 |
| 1619442969 | Nicole Arlene Newhouse | Occupational Therapy Assistant | 1 Emily Way, West Hartford, CT 06107-3136 | 2018-10-12 |
| 1629587415 | Filip Nikolic | Physical Medicine & Rehabilitation | 1 Emily Way, West Hartford, CT 06107-3136 | 2017-09-25 |
| 1174051551 | Elizabeth Anne Gait | Physical Therapy Assistant | 1 Emily Way, West Hartford, CT 06107-3136 | 2017-05-30 |
| 1245780550 | Lindsey Caron Willard | Occupational Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2016-10-11 |
| 1073063533 | Kelly Blake | Occupational Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2016-10-09 |
| 1811355415 | Kelsey Maroney | Occupational Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2016-02-10 |
| 1366807521 | Neil Robert Smith | Physical Therapy Assistant | 1 Emily Way, West Hartford, CT 06107-3136 | 2015-12-15 |
| 1578942595 | Michelle Veronica Frank | Occupational Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2015-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023260890 | Richard Sklenar | Skilled Nursing Facility | 148 Westgate St, West Hartford, CT 06110-1871 | 2008-10-10 |
| 1669697983 | Mercyknoll, Inc | Skilled Nursing Facility | 243 Steele Rd, West Hartford, CT 06117-2741 | 2007-04-13 |
| 1124174131 | West Hartford Health & Rehabilitation Center | Skilled Nursing Facility | 130 Loomis Dr, West Hartford, CT 06107-2037 | 2007-01-25 |
| 1750460010 | Brookview Corp | Skilled Nursing Facility | 130 Loomis Drive, West Hartford, CT 06107 | 2006-11-06 |
| 1467554204 | Advanced Practice Elder Care | Skilled Nursing Facility | 60 Haynes Rd, West Hartford, CT 06117-2732 | 2006-09-02 |
| 1275515199 | Hughes Health and Rehabilitation Inc | Skilled Nursing Facility | 29 Highland St, West Hartford, CT 06119-1324 | 2005-11-16 |
| 1578544714 | Hebrew Home and Hospital, Inc | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2005-11-06 |
| 1366438236 | Haven Health Center of West Hartford, LLC | Skilled Nursing Facility | 2432 Albany Ave, West Hartford, CT 06117-2503 | 2005-09-26 |
| 1467907584 | Hebrew Home for Health and Rehabilitation LLC | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-08-18 |
| 1275784753 | 2432 Albany Avenue Operations LLC | Skilled Nursing Facility | 2432 Albany Ave, West Hartford, CT 06117-2503 | 2008-10-02 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.