ATHENA MONTOWESE SNF LLC (NPI# 1710499066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710499066 |
| Entity Type | Organization |
| Organization Name | ATHENA MONTOWESE SNF LLC |
| Other Organization Name | MONTOWESE HEALTH & REHABILITATION CENTER |
| Practice Address |
163 Quinnipiac Ave North Haven CT 06473-3623 |
| Mailing Address |
135 South Rd Farmington CT 06032-2556 |
| Practice Telephone | 2036243303 |
| Mailing Telephone | 8607513915 |
| Mailing Fax Number | 8607513905 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | LAWRENCE G. SANTILLI (MANAGER) |
| Authorized Official Telephone | 8607513915 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHENA HEALTH CARE ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Athena Health Care Systems | Doing Business As Name - Organization |
| Montowese Health & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031441 | Athena Montowese Snf LLC | Skilled Nursing Facility | 65 Westfield Rd, Meriden, CT 06450-2425 | 2020-04-15 |
| Street Address |
163 QUINNIPIAC AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467401075 | Montowese Health & Rehabililtation Center | Skilled Nursing Facility | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2006-05-09 |
| 1568089316 | Emily Opramolla | Student in an Organized Health Care Education/Training Program | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2020-06-28 |
| 1306319413 | Jennifer B. Lee | Nurse Practitioner | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2019-01-10 |
| 1720554223 | Meredith Ballard | Occupational Therapist | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2018-10-23 |
| 1265919716 | Bianca Maribel Marmolejos | Physical Therapy Assistant | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2018-07-26 |
| 1518266139 | Frank Lavecchia | Physical Therapist | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2011-03-22 |
| 1265731871 | Matthew Parrillo | Physical Therapist | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2011-03-22 |
| 1316192354 | Herralan O Noel-vulpe | Nurse Practitioner | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2008-11-18 |
| 1760664403 | Montowese Physicians Group | Nurse Practitioner | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| 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 |
|---|---|---|---|---|
| 1467401075 | Montowese Health & Rehabililtation Center | Skilled Nursing Facility | 163 Quinnipiac Ave, North Haven, CT 06473-3623 | 2006-05-09 |
| 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 | NORTH HAVEN |
| Zip Code | 06473 |
Please comment or provide details below to improve the information on ATHENA MONTOWESE SNF 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.