STAYWELL HEALTH CARE INC (NPI# 1982151635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982151635 |
| Entity Type | Organization |
| Organization Name | STAYWELL HEALTH CARE INC |
| Practice Address |
30 Church St Naugatuck CT 06770-4112 |
| Practice Telephone | 2038054929 |
| Practice Fax Number | 8446684620 |
| Mailing Telephone | 2038054929 |
| Mailing Fax Number | 8446684620 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | DONALD THOMPSON (CEO/PRESIDENT) |
| Authorized Official Telephone | 2037568021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0787 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0787 | CT | Allopathic & Osteopathic Physicians |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
CT | Ambulatory Health Care Facilities | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CT | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BCBS | 1154342335 | 01 |
| CT | 004235976 | 05 | |
| CT | 004235968 | 05 | |
| CT | 004235984 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861024 | Staywell Health Care Inc | Clinic/Center | 160 Robbins St Ste 2, Waterbury, CT 06708-2652 | 2020-11-03 |
| 1831580745 | Staywell Health Care Inc | Clinic/Center | 95 Scovill St, 3rd Floor Pavillion B, Waterbury, CT 06706-1113 | 2015-02-13 |
| 1083022230 | Staywell Health Care Inc | Family Medicine | 402 E Main St, Waterbury, CT 06702-1701 | 2014-07-31 |
| Street Address |
30 CHURCH ST |
| City | NAUGATUCK |
| State | CT |
| Zip Code | 06770-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447767553 | Brittany Sauers | Occupational Therapist | 1261 South Main Street, Plansville, CT 06770 | 2018-01-10 |
| 1306350756 | Sheila I Negron | Social Worker | 150 Meadow St, Naugatuck, CT 06770 | 2017-11-21 |
| 1366873390 | Megan Robert Raniolo | Speech-Language Pathologist | 9 Hazel Avenue, Naugatuck, CT 06770 | 2013-12-02 |
| 1679831192 | Kelly Morin-irwin | Physical Therapist | 4 Hazel Av, Naugatuck, CT 06770 | 2012-05-03 |
| 1053680025 | Sandra Porino Heller | Social Worker | 29 Coventry Lane, Naugatuck, CT 06770 | 2011-12-21 |
| 1902191406 | Danielle Marie Dunn | Physical Therapist | 1183 New Haven Road, Naugatuck, CT 06770 | 2011-06-13 |
| 1750692166 | Acuity House Call | Internal Medicine | 21 Church Street, Naugatuck, CT 06770 | 2010-06-30 |
| 1356465892 | Jodi Sue Rodriguez | Occupational Therapy Assistant | 89 Weid Drive, Beacon Brook Health Center, Naugatuck, CT 06770 | 2007-03-19 |
| 1861563686 | Naugatuck Ambulance Inc | Ambulance | 246 Rubber Ave, Naugatuck, CT 06770 | 2006-11-13 |
| 1730292822 | Molecular Diagnostic Laboratory LLC | Clinical Medical Laboratory | 131 Quinn St, Naugatuck, CT 06770 | 2006-08-16 |
| Find all providers in zip 06770 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861024 | Staywell Health Care Inc | Clinic/Center | 160 Robbins St Ste 2, Waterbury, CT 06708-2652 | 2020-11-03 |
| 1447719091 | Charter Oak Health Center, Inc. | Clinic/Center | 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2489 | 2019-03-13 |
| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1760877864 | First Choice Health Centers, Inc. | Clinic/Center | 94 Connecticut Boulevard, East Hartford, CT 06108 | 2015-04-06 |
| 1669874855 | First Choice Health Centers, Inc. | Clinic/Center | 20 Maple Street, Maple Street School, Vernon, CT 06066 | 2014-09-19 |
| 1669874087 | First Choice Health Centers, Inc. | Clinic/Center | 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 | 2014-09-17 |
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| Find all providers with the same taxonomy | ||||
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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.