HAVEN HEALTH CENTER OF SOUTH WINDSOR, LLC (NPI# 1588651459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588651459 |
| Entity Type | Organization |
| Organization Name | HAVEN HEALTH CENTER OF SOUTH WINDSOR, LLC |
| Practice Address |
1060 Main St South Windsor CT 06074-2407 |
| Practice Telephone | 8602897771 |
| Practice Fax Number | 8602893761 |
| Mailing Telephone | 8602897771 |
| Mailing Fax Number | 8602893761 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | PAULA BLOOM (DIRECTOR OF AR) |
| Authorized Official Telephone | 8603443884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2271 | CT | Nursing & Custodial Care Facilities |
| Street Address |
1060 MAIN ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134382187 | Connecticut Health of South Windsor | Skilled Nursing Facility | 1060 Main St, South Windsor, CT 06074-2407 | 2008-07-09 |
| 1487864294 | Jane Marion Finston | Physical Therapist | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-23 |
| 1477763266 | Linda K Prella | Occupational Therapy Assistant | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-23 |
| 1790995496 | Rose M Spada | Physical Therapy Assistant | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-23 |
| 1083824700 | Murtaza A Awan | Physical Therapy Assistant | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-23 |
| 1679782783 | Margery W Zajac | Occupational Therapy Assistant | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-22 |
| 1023227089 | Ellyn Steinman | Speech-Language Pathologist | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-22 |
| 1720298714 | Maureen Duffy | Physical Therapist | 1060 Main St, South Windsor, CT 06074-2407 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| 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 |
|---|---|---|---|---|
| 1275891012 | Genesis Rehabilitation Services | Skilled Nursing Facility | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2012-04-30 |
| 1225312846 | Paradigm Healthcare Center of South Windsor, LLC | Skilled Nursing Facility | 1060 Main Street, South Windsor, CT 06074 | 2011-09-30 |
| 1134382187 | Connecticut Health of South Windsor | Skilled Nursing Facility | 1060 Main St, South Windsor, CT 06074-2407 | 2008-07-09 |
| 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 | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on HAVEN HEALTH CENTER OF SOUTH WINDSOR, 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.