GROTON COMMUNITY HEALTH CARE CENTER INC (NPI# 1760437362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760437362 |
| Entity Type | Organization |
| Organization Name | GROTON COMMUNITY HEALTH CARE CENTER INC |
| Practice Address |
120 Sykes Street Groton NY 13073 |
| Practice Telephone | 6078985876 |
| Practice Fax Number | 6078983034 |
| Mailing Telephone | 6078985876 |
| Mailing Fax Number | 6078983034 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFERY EARLE (PRESIDENT CEO) |
| Authorized Official Telephone | 6078985876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 5401305N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00476971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042847 | Groton Community Health Care Center Inc | Case Management | 120 Sykes Street, Groton, NY 13073 | 2006-05-22 |
| 1477508083 | Groton Community Health Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Sykes Street, Groton, NY 13073 | 2006-05-23 |
| Street Address |
120 SYKES STREET |
| City | GROTON |
| State | NY |
| Zip Code | 13073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042847 | Groton Community Health Care Center Inc | Case Management | 120 Sykes Street, Groton, NY 13073 | 2006-05-22 |
| 1477508083 | Groton Community Health Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Sykes Street, Groton, NY 13073 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245514157 | Lorie Ann Pitcher | Registered Nurse | 400 Peru Rd, Groton, NY 13073 | 2011-10-11 |
| 1407085475 | Alberta Rae Thompson | Licensed Practical Nurse | 424 Smith Rd, Groton, NY 13073 | 2009-07-10 |
| 1306958087 | Sufdar Ali | Dentist | 119 W South St, Groton, NY 13073 | 2006-08-31 |
| 1427037159 | Ahmad M Mehdi | Family Medicine | 100 Sykes St, Groton, NY 13073 | 2006-01-11 |
| 1942360227 | Princess Fawn Butts | Licensed Practical Nurse | 303 W Cortland St, Groton, NY 13073-1009 | 2006-12-09 |
| 1407119449 | Susan Diane Mcandrews | Licensed Practical Nurse | 405 W Cortland St, Box 147, Groton, NY 13073-1011 | 2012-06-22 |
| 1417128521 | Kathryn Baker | Registered Nurse | 107 Church St, Groton, NY 13073-1103 | 2008-03-17 |
| 1609969534 | Charles O. Lambiotte | Emergency Medicine | 141 E Cortland St, Groton, NY 13073-1107 | 2006-10-02 |
| 1134611619 | Robin Daniel Klein | Licensed Practical Nurse | 315 E Cortland St, Groton, NY 13073-1111 | 2018-05-31 |
| 1518232271 | Liza F Mcbride | Licensed Practical Nurse | 302 Elm St Apt A, Groton, NY 13073-1120 | 2012-03-14 |
| Find all providers in zip 13073 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366499568 | Health Resources of Groton, Inc. | Assisted Living Facility | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2006-05-31 |
| 1083897565 | Ggnsc Groton LLC | Assisted Living Facility | 1106 N 2nd St, Groton, SD 57445-2172 | 2007-12-07 |
| 1497936918 | Health Resources of Groton LLC | Assisted Living Facility | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2007-11-27 |
| 1154502672 | 1145 Poquonnock Road Operations LLC | Assisted Living Facility | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2007-11-27 |
| 1710168844 | Rivercourt Limited Partnership | Assisted Living Facility | 8 W Main St, Groton, MA 01450-1631 | 2007-11-16 |
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|---|---|---|---|---|
| 1457950966 | Kim One Family Type Homes for Adults | Assisted Living Facility | 361 California Ave, Uniondale, NY 11553-1857 | 2020-10-26 |
| 1992310395 | Gasna Aladin | Assisted Living Facility | 39 Irving St, Valley Stream, NY 11580-1634 | 2020-09-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
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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.