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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 144-RH | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000091447 | 05 |
| Street Address |
9 CLIFF ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-2125 |
| 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 |
| Find all providers in zip 06710 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on MATTATUCK HEALTH CARE FACILITY, INC..
| 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.