PRIME HEALTHCARE (SLEEP LAB) (NPI# 1184832354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184832354 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE (SLEEP LAB) |
| Practice Address |
30 Jordan Ln Wethersfield CT 06109-1278 |
| Mailing Address |
20 Isham Rd Suite 100 West Hartford CT 06107-2204 |
| Practice Telephone | 8602630253 |
| Practice Fax Number | 8602630262 |
| Mailing Telephone | 8605212231 |
| Mailing Fax Number | 8605212238 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | STEPHEN BRUNO (CEO) |
| Authorized Official Telephone | 8602630253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
CT | Ambulatory Health Care Facilities |
| Street Address |
30 JORDAN LN |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166422 | Wayne Christopher Paulekas | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2005-12-23 |
| 1669972444 | Brian Gomes | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109 | 2018-02-18 |
| 1588977540 | Right At Home In Homecare & Assistance | Home Health | 30 Jordan Ln, 3rd Floor, Wethersfield, CT 06109-1278 | 2010-07-20 |
| 1558531996 | Deborah Ann Broadley | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2008-02-29 |
| 1184819302 | Prime Healthcare, PC | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-09-11 |
| 1508089244 | Amarillys Rodriguez | Family Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-04-11 |
| 1659344174 | Katherine Thomsen | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2006-02-08 |
| 1073584801 | Robert Reginio | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2006-01-30 |
| 1912984618 | Frederick Pope | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851633 | Sonno Diagnostics LLC | Clinic/Center | 252 Farmdale Rd, Watertown, CT 06795-2317 | 2020-04-27 |
| 1811426976 | Chestnut Sleep Consultants LLC | Clinic/Center | 220 Chestnut Grv, Guilford, CT 06437-1385 | 2017-06-12 |
| 1457619611 | New England Sleep Therapy, LLC | Clinic/Center | 1291 Boston Post Rd, Suite 202, Madison, CT 06443-3476 | 2012-04-25 |
| 1871801977 | Hamden Sleep Disorders Center,llc | Clinic/Center | 174 Cherry St, Milford, CT 06460-3415 | 2010-09-23 |
| 1891016176 | Nutmeg Sleep Lab | Clinic/Center | 478 Burnside Ave, East Hartford, CT 06108-2406 | 2010-06-21 |
| 1699908657 | Sleep Associates of Connecticut, Inc. | Clinic/Center | 687 Campbell Ave, West Haven, CT 06516-3774 | 2009-08-25 |
| 1992931687 | Hamden Sleep Disorders Center LLC | Clinic/Center | 14 Business Park Dr, Suite A, Branford, CT 06405-2909 | 2009-06-08 |
| 1487821211 | Yale University | Clinic/Center | 40 Temple St, Suite 3c, New Haven, CT 06510-2715 | 2008-05-12 |
| 1861514457 | Northeast Medical Group, Inc. | Clinic/Center | 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 | 2007-04-04 |
| 1699833194 | Norwich Sleep Center, LLC | Clinic/Center | 330 Washington St, Suite 440, Norwich, CT 06360-2700 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
Please comment or provide details below to improve the information on PRIME HEALTHCARE (SLEEP LAB).
| 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.