RESILIENT LIVING PC (NPI# 1821537648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821537648 |
| Entity Type | Organization |
| Organization Name | RESILIENT LIVING PC |
| Practice Address |
1261 S Main St Plantsville CT 06479-1750 |
| Practice Telephone | 8606289000 |
| Mailing Telephone | 8606289000 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | ANNE M KENNY (PHYSICIAN) |
| Authorized Official Telephone | 8606289000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
030589 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
030589 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1043293780 | 05 |
| Street Address |
1261 S MAIN ST |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622790 | Ashley Kalman | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2019-07-27 |
| 1306308952 | Teresa Lohr | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2019-04-03 |
| 1891282356 | Jennifer Michelle D'eugenio | Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-04-19 |
| 1467969626 | Marissa Ann Briere | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-01-09 |
| 1104333418 | Ewa Blaszczyk | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-01-08 |
| 1396271532 | Livewell Alliance, Inc. | Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | 2017-05-09 |
| 1689833345 | Stephani Shivers | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2008-06-06 |
| 1295931178 | Caroline Kate Keefe | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2007-06-26 |
| 1548386469 | Roberta Macritchie | Physical Therapist | 1261 S Main St, Plantsville, CT 06479-1720 | 2007-03-22 |
| 1295850899 | Susan Conroy | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1720 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586839 | Ashley Dacosta | Social Worker | 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 | 2019-03-12 |
| 1598263881 | Cassandra Marcheggiani, LLC | Social Worker | 710 Main Street Bldg 2, Ste. 5, Plantsville, CT 06479 | 2018-02-01 |
| 1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
| 1134550023 | Melanie Ann Edman | Social Worker | 29 Charles Street, Plantsville, CT 06479 | 2013-12-03 |
| 1447524228 | Joseph Anthony Picone Sr. | Dentist | 954 S. Main St., Plantsville, CT 06479 | 2012-02-27 |
| 1760784250 | Jsl Connections, LLC | Counselor | 16 Cornerstone Court, Suite 5, Plantsville, CT 06479 | 2010-12-03 |
| 1710125026 | Paul Poutouves | Physical Therapist | 149 Jubilee Dr, Plantsville, CT 06479 | 2009-01-23 |
| 1871709725 | Essential Dental, LLC | Dentist | 1090 Meriden Waterbury Tpke, Suite 2, Plantsville, CT 06479 | 2007-05-15 |
| 1568680528 | Alkesh V Patel Md LLC | Pediatrics | 710 Main Street Bldg 1, Plantsville, CT 06479 | 2007-04-23 |
| 1083754964 | Neil D Salesky | Dentist | 15 3a Cornerstone Ct, Plantsville, CT 06479 | 2007-02-08 |
| Find all providers in zip 06479 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612100 | Holistic Healing Partners, LLC | Internal Medicine | 290 Baxter Ln, Milford, CT 06460-6813 | 2019-04-28 |
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1720211444 | Joseph Daniel Demayo | Internal Medicine | 66 Skyline Dr, Middlebury, CT 06762-1717 | 2009-08-27 |
| 1679701882 | Southern Connecticut Geriatric & Preventive Medicine LLC | Internal Medicine | 4 Sagamore Cove Rd, Branford, CT 06405-5020 | 2009-06-25 |
| 1184896151 | Geriatric Medicine Consultants Home Visit Practice, LLC | Internal Medicine | 33 Birch Rd, West Hartford, CT 06119-1009 | 2008-03-30 |
| 1083814339 | Lefkowitz & Scollan, M.d.'s,llc | Internal Medicine | 469 E Main St, Meriden, CT 06450-6027 | 2007-07-24 |
| 1326116948 | Barney Spivack | Internal Medicine | 101 Long Lots Rd, Westport, CT 06880-3919 | 2006-12-01 |
| 1447267026 | Casey Ott | Internal Medicine | 22 Old Waterbury Rd # 103, Southbury, CT 06488-3848 | 2006-08-03 |
| 1447264155 | Audrey Lefkowitz | Internal Medicine | 469 E Main Street, Meriden, CT 06450 | 2006-07-28 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | PLANTSVILLE |
| Zip Code | 06479 |
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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.