WAVENY CARE CENTER, INC (NPI# 1740277094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740277094 |
| Entity Type | Organization |
| Organization Name | WAVENY CARE CENTER, INC |
| Practice Address |
3 Farm Rd New Canaan CT 06840-6626 |
| Practice Telephone | 2035945200 |
| Practice Fax Number | 2035945412 |
| Mailing Telephone | 2035945200 |
| Mailing Fax Number | 2035945412 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEREMY VICKERS (CEO) |
| Authorized Official Telephone | 2035945316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 942-C | CT | Nursing & Custodial Care Facilities |
| Street Address |
3 FARM RD |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881243418 | Ian H Power | Speech-Language Pathologist | 3 Farm Rd, New Canaan, CT 06840-6698 | 2019-09-06 |
| 1841744703 | Julia Cardamone | Student in an Organized Health Care Education/Training Program | 3 Farm Rd, New Canaan, CT 06840-6626 | 2016-08-09 |
| 1760722318 | Peter Louis Tallerico IIi | Speech-Language Pathologist | 3 Farm Rd, New Canaan, CT 06840-6698 | 2013-02-19 |
| 1043589781 | Waveny Home Healthcare, Inc. | Home Health | 3 Farm Rd, New Canaan, CT 06840-6626 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346506060 | Mary Fetchet | Social Worker | 11th, 161 Cherry Street, Voices of September, New Canaan, CT 06840 | 2012-04-06 |
| 1841514429 | Todd L Anderson | Physical Therapist | 45 Grove Street, New Canaan, CT 06840 | 2010-03-25 |
| 1598098667 | Catherine Leigh Beeson | Dentist | 208 South Ave, New Canaan, CT 06840 | 2009-09-08 |
| 1942451893 | Breann Sara Erickson | Dietitian, Registered | 208 Valley Road, New Canaan, CT 06840 | 2008-10-08 |
| 1699987909 | Vickie (victoria) Zupa | Naturopath | 172 East Ave, New Canaan, CT 06840 | 2007-05-07 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1528190121 | Rachel Coder Matthews | Social Worker | 39 Selleck Place, New Canaan, CT 06840 | 2007-03-09 |
| 1598830234 | Peter M Shutkin | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-21 |
| 1407932544 | Sharon J Littzi | Specialist | Morse Court, New Canaan, CT 06840 | 2006-10-31 |
| 1508940966 | Elizabeth J Granfield | Social Worker | 256 Park St, New Canaan, CT 06840 | 2006-10-24 |
| Find all providers in zip 06840 | ||||
| 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. |
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|---|---|---|---|---|
| 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 | NEW CANAAN |
| Zip Code | 06840 |
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| 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.