KEYSTONE PLACE AT WOOSTER HEIGHTS, LLC (NPI# 1053926295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053926295 |
Entity Type | Organization |
Organization Name | KEYSTONE PLACE AT WOOSTER HEIGHTS, LLC |
Practice Address |
66 Wooster Hts Danbury CT 06810-6685 |
Mailing Address |
3965 Airport Dr Indianapolis IN 46254-5845 |
Practice Telephone | 2035160218 |
Practice Fax Number | 3178631116 |
Mailing Telephone | 3174099252 |
Mailing Fax Number | 3178631116 |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-14 |
Authorized Official Name | BRENDA ARMSTRONG (GENERAL COUNSEL) |
Authorized Official Telephone | 3174099252 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | KEYSTONE PLACE AT WOOSTER HEIGHTS, LLC | 3965 Airport Drive, Indianapolis, IN 46254 |
Street Address |
66 WOOSTER HTS |
City | DANBURY |
State | CT |
Zip Code | 06810-6685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
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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 |
---|---|---|---|---|
1972701191 | Maplewood At Danbury, LLC | Assisted Living Facility | 22 Hospital Ave, Danbury, CT 06810-5944 | 2007-07-10 |
1164572269 | Danbury Assisted Living | Assisted Living Facility | 8 Glen Hill Rd, Danbury, CT 06811-4985 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831703842 | Keystone Place At Newbury Brook, LLC | Assisted Living Facility | 1058 Litchfield St, Torrington, CT 06790-6100 | 2020-09-08 |
1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
1528617529 | Prime Care One, LLC | Assisted Living Facility | 211 Danbury Rd, Wilton, CT 06897-4005 | 2019-09-11 |
1184280893 | Masonicare Home Health and Hospice, Inc. | Assisted Living Facility | 3 Myrtle Dr, Norwich, CT 06360-1545 | 2019-05-17 |
1871156828 | The Jewish Home for The Elderly of Fairfield County | Assisted Living Facility | 60 Gregory Blvd, Norwalk, CT 06855-2043 | 2019-04-16 |
1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
1760995344 | Hartford Hospital D/b/a Cedar Mountain Commons | Assisted Living Facility | 3 John H. Stewart Drive, Newington, CT 06111-3166 | 2017-11-06 |
1013300664 | Maplewood At Stony Hill, LLC | Assisted Living Facility | 46 Stony Hill Rd, Bethel, CT 06801-3034 | 2015-03-06 |
1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
1295039063 | Sg Senior Living, LLC | Assisted Living Facility | 50 Ledge Rd, Darien, CT 06820-4439 | 2011-01-07 |
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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.