MATTATUCK HEALTH CARE FACILITY, INC.


Address: 9 Cliff St, Waterbury, CT 06710-2125
Phone: 2035739924

MATTATUCK HEALTH CARE FACILITY, INC. (NPI# 1609863737) 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) 1609863737
Entity Type Organization
Organization Name MATTATUCK HEALTH CARE FACILITY, INC.
Practice Address 9 Cliff St
Waterbury
CT 06710-2125
Practice Telephone 2035739924
Practice Fax Number 2035730201
Mailing Telephone 2035739924
Mailing Fax Number 2035730201
Enumeration Date 2005-10-04
Last Update Date 2014-04-11
Authorized Official Name ALLEN V DESENA (ADMINISTRATOR)
Authorized Official Telephone 2035739924
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 144-RH CT Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 000091447 05

Office Location

Street Address 9 CLIFF ST
City WATERBURY
State CT
Zip Code 06710-2125

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417511718 Michael A Mastroianni Pharmacist Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 2019-04-23
1508127598 Brenda Mcleod Technician, Pathology 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 2012-06-06
1659536936 Michelle Gomes Ferreira-machado Social Worker 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 2008-07-25
1588699557 Adriane Guerin Physician Assistant 179 Roseland Ave, Waterbury, CT 06710 2006-07-11
1013311554 Chelsey Micciche Student in an Organized Health Care Education/Training Program 34 Murray Street, Waterbury, CT 06710 2014-10-13
1972905321 Carmen Woodcock Student in an Organized Health Care Education/Training Program 34 Murray Street, Waterbury, CT 06710 2014-09-17
1841597663 Avis Foster Student in an Organized Health Care Education/Training Program 34 Murray St., Waterbury, CT 06710 2011-02-14
1528364783 Quiana Scott Student in an Organized Health Care Education/Training Program 34 Murray St., Waterbury, CT 06710 2011-02-07
1063716363 Natalie Luciano Student in an Organized Health Care Education/Training Program 34 Murray St., Waterbury, CT 06710 2010-12-29
1134423437 Mildred Figueroa Social Worker 34 Murray St., Waterbury, CT 06710 2010-12-29
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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
1215309679 Waterbury Gardens Nursing and Rehab LLC Nursing Facility/Intermediate Care Facility 128 Cedar Ave, Waterbury, CT 06705-2700 2015-10-26
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

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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 06710

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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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