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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Waterbury Gardens Nursing and Rehab LLC | 128 Cedar Ave, Waterbury, CT 06705 |
Street Address |
128 CEDAR AVE |
City | WATERBURY |
State | CT |
Zip Code | 06705-2700 |
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 |
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 |
Find all providers in zip 06705 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.