CANDLEWOOD VALLEY CARE CTR (NPI# 1003128588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003128588 |
| Entity Type | Organization |
| Organization Name | CANDLEWOOD VALLEY CARE CTR |
| Other Organization Name | CANDLEWOOD VALLEY CARE CTR |
| Practice Address |
30 Park Ln E New Milford CT 06776-2510 |
| Practice Telephone | 8006858180 |
| Practice Fax Number | 2036656455 |
| Mailing Telephone | 8006858180 |
| Mailing Fax Number | 2036656455 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | MRS. MARITZA DEFLORIO (REGIONAL DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8006858180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2207-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000009266 | 05 |
| Other Name | Type Code |
|---|---|
| CANDLEWOOD VALLEY CARE CTR | Former Legal Business Name - Organization |
| Street Address |
30 PARK LN E |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472093 | Sophia Stephanie Rickevicius | Nurse Practitioner | 30 Park Ln E, New Milford, CT 06776-2510 | 2018-10-04 |
| 1336507722 | New Milford Rehabilitation LLC | Skilled Nursing Facility | 30 Park Ln E, New Milford, CT 06776-2510 | 2016-02-01 |
| 1356710784 | Alyce Creiner | Speech-Language Pathologist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-09-16 |
| 1467830901 | Lucindia Mcinerney | Physical Therapy Assistant | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-17 |
| 1669859955 | Kathleen Boyce | Occupational Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-06 |
| 1295112571 | Chandra Rogers | Physical Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-06 |
| 1427435882 | Jennifer Lee Tuz | Physical Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| 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 |
|---|---|---|---|---|
| 1750451571 | Eden Park Management, Inc. | Skilled Nursing Facility | 19 Poplar St, New Milford, CT 06776-2901 | 2006-11-09 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1386643062 | 800 River Road Operating Company, LLC | Skilled Nursing Facility | 800 River Road, New Milford, NJ 07646 | 2005-07-15 |
| 1336507722 | New Milford Rehabilitation LLC | Skilled Nursing Facility | 30 Park Ln E, New Milford, CT 06776-2510 | 2016-02-01 |
| 1972719847 | New Milford Crossings LLC | Skilled Nursing Facility | 19 Poplar St, New Milford, CT 06776-2901 | 2007-05-15 |
| 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 | NEW MILFORD |
| Zip Code | 06776 |
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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.