TI - WATERBURY LLC (NPI# 1578536959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578536959 |
| Entity Type | Organization |
| Organization Name | TI - WATERBURY LLC |
| Other Organization Name | BUCKS HILL NURSING AND REHABILITATION CENTER |
| Practice Address |
2817 N Main St Waterbury CT 06704-1604 |
| Practice Telephone | 2037570731 |
| Practice Fax Number | 2035960892 |
| Mailing Telephone | 2037570731 |
| Mailing Fax Number | 2035960892 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | JOSEPH C TUTERA (OPERATOR) |
| Authorized Official Telephone | 8164440900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2272 | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000007724 | 05 |
| Other Name | Type Code |
|---|---|
| BUCKS HILL NURSING AND REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
2817 N MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235533209 | Bucks Hill Operations LLC | Skilled Nursing Facility | 2817 N Main St, Waterbury, CT 06704-1604 | 2014-10-20 |
| 1275846594 | Aurora Senior Living of Buck Hill, LLC | Skilled Nursing Facility | 2817 N Main St, Waterbury, CT 06704-1604 | 2010-07-15 |
| 1881803674 | Kimberly D Stohl | Speech-Language Pathologist | 2817 N Main St, Waterbury, CT 06704-1604 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| 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 |
|---|---|---|---|---|
| 1982072062 | Waterbury Gardens Nursing and Rehab LLC | Skilled Nursing Facility | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2015-09-08 |
| 1871613562 | Rosegarden Health and Rehabilitation Center LLC | Skilled Nursing Facility | 3584 E Main St, Waterbury, CT 06705-3850 | 2007-03-29 |
| 1912952359 | Marathon Healthcare Center of Waterbury LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2006-05-24 |
| 1386605350 | Meridian Manor Corp | Skilled Nursing Facility | 1132 Meriden Rd, Waterbury, CT 06705 | 2006-03-30 |
| 1831185883 | Cheshire House LLC | Skilled Nursing Facility | 3396 E Main St, Waterbury, CT 06705-3812 | 2005-09-26 |
| 1154313310 | Cedar Lane Rehabilitation & Health Care Ctr LLC | Skilled Nursing Facility | 128 Cedar Avenue, Waterbury, CT 06705-2700 | 2005-08-15 |
| 1669474961 | Grove Manor Nursing Home, Inc. | Skilled Nursing Facility | 145 Grove St, Waterbury, CT 06710-2202 | 2005-06-01 |
| 1962405720 | Health Care Ventures Inc Dba Crescent Manor | Skilled Nursing Facility | 1243 W Main St, Waterbury, CT 06708-3101 | 2005-05-24 |
| 1982062774 | Regalcare At Torrington LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2016-02-08 |
| 1518325315 | Regalcare At Waterbury LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2016-02-08 |
| Find all providers in WATERBURY | ||||
Please comment or provide details below to improve the information on TI - WATERBURY LLC.
| 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.