97 PRESTON ROAD OPERATIONS LLC (NPI# 1457502924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457502924 |
| Entity Type | Organization |
| Organization Name | 97 PRESTON ROAD OPERATIONS LLC |
| Other Organization Name | GRISWOLD SKILLED NURSING AND REHABILITATION |
| Practice Address |
97 Preston Rd Griswold CT 06351-2516 |
| Practice Telephone | 8603764438 |
| Practice Fax Number | 8603768343 |
| Mailing Telephone | 8603764438 |
| Mailing Fax Number | 8603768343 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | MARCELLA WILKINSON (CORPORATE DIRECTOR) |
| Authorized Official Telephone | 6109254045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2256 | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Griswold Skilled Nursing and Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | 97 PRESTON ROAD OPERATIONS LLC | 1035 Powers Place, Alpharetta, GA 30009 |
| Street Address |
97 PRESTON RD |
| City | GRISWOLD |
| State | CT |
| Zip Code | 06351-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407018732 | Tc Healthcare I, LLC | Skilled Nursing Facility | 97 Preston Rd, Griswold, CT 06351-2516 | 2008-06-27 |
| 1831393693 | Sharon Roberts | Occupational Therapy Assistant | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-06-13 |
| 1215146121 | Anne Reich Melendez | Occupational Therapy Assistant | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-05-21 |
| 1326257189 | Candice Lynn Wilson | Speech-Language Pathologist | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-05-21 |
| 1225247190 | Darlene Larned | Physical Therapy Assistant | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1750554788 | Lisbon Central School | Local Education Agency (LEA) | 15 Newent Road, Lisbon, CT 06351 | 2008-04-10 |
| 1699953729 | Joel Zuckerbraun Odpl | Optometrist | 8 North Main Street, Jewett City, CT 06351 | 2008-01-31 |
| 1275542219 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2 B Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1841260106 | Sasha B Campbell | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-01-26 |
| 1316296502 | Kelsey Lyn Joslyn | Counselor | 226 E Main St, Griswold, CT 06351 | 2012-09-04 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1952310955 | Penny Anne Allyn | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1578572574 | Audrey Jo Traylor | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1265434583 | Mark David Deponte | Family Medicine | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| Find all providers in zip 06351 | ||||
| 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 |
|---|---|---|---|---|
| 1407018732 | Tc Healthcare I, LLC | Skilled Nursing Facility | 97 Preston Rd, Griswold, CT 06351-2516 | 2008-06-27 |
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| 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 |
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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.