STATE OF CONNECTICUT (NPI# 1205951662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205951662 |
| Entity Type | Organization |
| Organization Name | STATE OF CONNECTICUT |
| Other Organization Name | DEPARTMENT OF VETERANS' AFFAIRS, VETERANS HOME |
| Practice Address |
287 West Street Rocky Hill CT 06067-3904 |
| Practice Telephone | 8606163637 |
| Practice Fax Number | 8606163539 |
| Mailing Telephone | 8606163637 |
| Mailing Fax Number | 8606163539 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | SHUMEI CHU (FISCAL ADMINISTRATIVE SUPERVISOR) |
| Authorized Official Telephone | 8606163637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004111639 | 05 |
| Other Name | Type Code |
|---|---|
| Department of Veterans Affairs | Other Name - Individual/Organization |
| Department of Veterans' Affairs, Veterans Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095851 | State of Connecticut | Clinic/Center | 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 | 2018-03-06 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1750459855 | State of Connecticut | Psychiatric Residential Treatment Facility | 915 River Road, Middletown, CT 06457-3921 | 2006-11-30 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1871524678 | State of Connecticut | Ambulance | Route 172, Dept of Mental Retardation: Southbury Training School, Southbury, CT 06488-0901 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF CONNECTICUT DMR | 460 Capitol Ave, Hartford, CT 06106-1308 |
| Street Address |
287 WEST STREET |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164924643 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 2162 Silas Dean Highway, Rocky Hill, CT 06067 | 2018-03-01 |
| 1285049304 | Edmund Swan | Optometrist | 38 Town Line Rd, Rocky Hill, CT 06067 | 2014-06-26 |
| 1962814145 | Touchpoints Homecare, LLC | Home Health | 1838 Silas Deane Hwy, Rocky Hill, CT 06067 | 2014-05-22 |
| 1649696014 | Janet Kelly | Speech-Language Pathologist | 135 Old Main Street, Rocky Hill, CT 06067 | 2014-03-10 |
| 1194147256 | George Ginsberg | Dentist | 35 Cold Spring Rd, Suite 325, Rocky Hill, CT 06067 | 2014-01-09 |
| 1679901953 | Masters In Home Care, LLC | Home Health | 40 Cold Spring Rd, Rocky Hill, CT 06067 | 2013-10-23 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1851631683 | Tia Jean Williams | Physician Assistant | 1111 Cromwell Ave # 404, Rocky Hill, CT 06067 | 2013-02-14 |
| 1700125804 | Marisol Rodriguez | Reflexologist | 1800 Silas Deane Highway, Suite 150, Rocky Hill, CT 06067 | 2013-02-08 |
| 1790070530 | Kelly A Cronin | Nurse Practitioner | 500 Enterprise Drive, Suite 4a, Rocky Hill, CT 06067 | 2011-06-09 |
| Find all providers in zip 06067 | ||||
| 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 |
|---|---|---|---|---|
| 1780742619 | Maple View Manor of Ct LLC | Skilled Nursing Facility | 856 Maple Street, Rocky Hill, CT 06067 | 2006-12-04 |
| 1184657173 | Elm Hill Nursing Center, Inc. | Skilled Nursing Facility | 45 Elm St, Rocky Hill, CT 06067 | 2006-07-10 |
| 1528468659 | United Health Group | Skilled Nursing Facility | 400 Capital Blvd Fl 3, Rocky Hill, CT 06067-3576 | 2014-08-26 |
| 1760825376 | Securecare Options, LLC | Skilled Nursing Facility | 60 West St, Rocky Hill, CT 06067-3518 | 2013-04-12 |
| 1346491826 | 60 West Street Operations LLC | Skilled Nursing Facility | 60 West St, Rocky Hill, CT 06067-3518 | 2008-10-02 |
| 1811159148 | Tc Healthcare I, LLC | Skilled Nursing Facility | 60 West St, Rocky Hill, CT 06067-3518 | 2008-06-27 |
| 1336108505 | Haven Health Center of Rocky Hill, LLC | Skilled Nursing Facility | 60 West St, Rocky Hill, CT 06067-3518 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1275069221 | 88 Clark Operating LLC | Skilled Nursing Facility | 88 Clark Ln, Waterford, CT 06385-2118 | 2017-05-11 |
| 1568837102 | Amanda Byrnes | Skilled Nursing Facility | 19 Sandra Ave, Terryville, CT 06786-5016 | 2015-12-08 |
| 1629447727 | Medi-np, LLC | Skilled Nursing Facility | 25 Hidden Pines Cir, Meriden, CT 06451-2212 | 2015-09-18 |
| 1982072062 | Waterbury Gardens Nursing and Rehab LLC | Skilled Nursing Facility | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2015-09-08 |
| 1275918443 | 55 Kondracki Lane Operations LLC | Skilled Nursing Facility | 55 Kondracki Ln, Wallingford, CT 06492-4951 | 2015-07-29 |
| 1285012369 | Katherine Bushey | Skilled Nursing Facility | 1270 Sherman Ave, Hamden, CT 06514-1330 | 2015-05-11 |
| 1053798256 | Ltc Dental LLP | Skilled Nursing Facility | 174 Scott Rd, Prospect, CT 06712-1300 | 2015-04-27 |
| 1316354228 | Maplewood Mayflower Place Snf LLC | Skilled Nursing Facility | 1 Gorham Is, Westport, CT 06880-3217 | 2014-07-14 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY HILL |
| Zip Code | 06067 |
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| 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.