WATERBURY GARDENS NURSING AND REHAB LLC


Address: 128 Cedar Ave, Waterbury, CT 06705-2700
Phone: 5165050000

WATERBURY GARDENS NURSING AND REHAB LLC (NPI# 1215309679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215309679
Entity Type Organization
Organization Name WATERBURY GARDENS NURSING AND REHAB LLC
Practice Address 128 Cedar Ave
Waterbury
CT 06705-2700
Mailing Address 99 W Hawthorne Ave
Suite 508
Valley Stream
NY 11580-6163
Practice Telephone 5165050000
Mailing Telephone 5165050000
Enumeration Date 2015-10-26
Last Update Date 2016-05-24
Authorized Official Name DAVID GAMZEH (MEMEBER)
Authorized Official Telephone 5165050000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982072062 Waterbury Gardens Nursing and Rehab LLC Skilled Nursing Facility 128 Cedar Ave, Waterbury, CT 06705-2700 2015-09-08

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Waterbury Gardens Nursing and Rehab LLC 128 Cedar Ave, Waterbury, CT 06705

Office Location

Street Address 128 CEDAR AVE
City WATERBURY
State CT
Zip Code 06705-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982072062 Waterbury Gardens Nursing and Rehab LLC Skilled Nursing Facility 128 Cedar Ave, Waterbury, CT 06705-2700 2015-09-08
1114462561 Shantelle Brokaw Nurse Practitioner 128 Cedar Ave, Waterbury, CT 06705-2700 2016-12-21
1558818559 Grace Archibald Occupational Therapist 128 Cedar Ave, Waterbury, CT 06705-2700 2016-09-07
1447625330 Katherine Molter Occupational Therapy Assistant 128 Cedar Ave, Waterbury, CT 06705-2700 2015-12-03
1740654961 Amanda L Barry Student in an Organized Health Care Education/Training Program 128 Cedar Ave, Waterbury, CT 06705-2700 2015-11-27
1346614617 Chris Pinnette Occupational Therapy Assistant 128 Cedar Ave, Waterbury, CT 06705-2700 2015-11-24
1528432895 Michael Rivers Occupational Therapist 128 Cedar Ave, Waterbury, CT 06705-2700 2015-11-24
1376917708 Alban Cota Physical Therapy Assistant 128 Cedar Ave, Waterbury, CT 06705-2700 2015-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598245037 Karanbeer Singh Aulakh Dentist Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 2018-08-15
1912495797 Jennie Webb Physician Assistant 2247 E Main St Ste 103, Waterbury, CT 06705 2018-04-26
1558886671 Macaela Cirish Nurse Practitioner 3801 East Main Street, Second Floor, Waterbury, CT 06705 2017-08-09
1033648464 Mahwish Makhdoom Pharmacist 464 Reidville Drive, Waterbury, CT 06705 2017-06-08
1417407248 Jaswinder Gulati Dentist 939 Wolcott Street Unit 5b, Waterbury, CT 06705 2016-10-05
1407272107 Cori Capuano Counselor 230 Frost Rd Unit B, Waterbury, CT 06705 2014-03-05
1528403177 Daniel G. Brennan Dentist 2457 East Main St, Waterbury, CT 06705 2013-05-08
1538419742 Jenna Elizabeth Partola Physician Assistant 1327 Meriden Rd, Wolcott, CT 06705 2012-09-14
1710244785 Mirta Sabino Counselor 126 Stonefield Dr, Waterbury, CT 06705 2012-04-16
1578849519 Uday Shankar Internal Medicine 3801 E Main St Fl 2, Waterbury, CT 06705 2011-10-21
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609863737 Mattatuck Health Care Facility, Inc. Nursing Facility/Intermediate Care Facility 9 Cliff St, Waterbury, CT 06710-2125 2005-10-04
1942629860 Maple Hill Residential Care Home Nursing Facility/Intermediate Care Facility 26 Union St, Waterbury, VT 05676-1303 2014-04-08
1497173470 David W Anderson Nursing Facility/Intermediate Care Facility 26 Union St, Waterbury, VT 05676-1303 2014-04-07
1962833178 Cheshire House Nursing and Rehabilitation Center Nursing Facility/Intermediate Care Facility 3396 E Main St, Waterbury, CT 06705-3812 2013-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265826796 Johnson Memorial Hospital, Inc. Nursing Facility/Intermediate Care Facility 88 Hillyndale Rd, Storrs, CT 06268-1802 2015-03-23
1184838039 Connecticut Baptist Homes, Inc. Nursing Facility/Intermediate Care Facility 292 Thorpe Avenue, Meriden, CT 06450 2007-05-10
1578784658 Simonetti Realty Inc Nursing Facility/Intermediate Care Facility 101 Marshall Ln, Derby, CT 06418-2347 2007-05-02
1649395781 Yale New Haven Ambulatory Services Corp Nursing Facility/Intermediate Care Facility 229 George Street, Floor 3, New Haven, CT 06510 2007-03-20
1942324389 New Haven Health Care Nursing Facility/Intermediate Care Facility 34 Level St, New Haven, CT 06515-1017 2007-03-19
1194857581 Filosa Care Center, Inc. Nursing Facility/Intermediate Care Facility 31 Staple St, Danbury, CT 06810-5323 2007-03-12
1598833725 Orchard Grove Specialty Care Center Nursing Facility/Intermediate Care Facility 5 Richard Brown Drive, Uncasville, CT 06382 2006-12-04
1275609398 Clintonville Manor Nursing Facility/Intermediate Care Facility 201 Clintonville Rd, North Haven, CT 06473-2409 2006-11-28
1487724175 Hewitt Health and Rehab Center Nursing Facility/Intermediate Care Facility 45 Maltby St, Shelton, CT 06484-3328 2006-11-09
1851402382 St Mary Home, Incorporated Nursing Facility/Intermediate Care Facility 2021 Albany Ave, West Hartford, CT 06117-2755 2006-08-31
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Competitor

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City WATERBURY
Zip Code 06705

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Dataset Information

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.

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