KIMBERLY HALL SOUTH (NPI# 1063656387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063656387 |
| Entity Type | Organization |
| Organization Name | KIMBERLY HALL SOUTH |
| Practice Address |
1 Emerson Dr Windsor CT 06095-3204 |
| Practice Telephone | 8606406339 |
| Mailing Telephone | 8606406339 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | MRS. MAGDALENA TURNER (OCCUPATIONAL THERAPY ASSISTANT) |
| Authorized Official Telephone | 8605978333 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 001100 | CT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Kimberly Hall South Re, LLC | 551 5th Ave Rm 2500, New York, NY 10176 |
| Street Address |
1 EMERSON DR |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415196 | Genesis Eldercare Physician Services LLC | Internal Medicine | 1 Emerson Dr, Kimberly Hall North, Windsor, CT 06095 | 2005-08-24 |
| 1598377251 | Amanda Archambault | Speech-Language Pathologist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2020-08-23 |
| 1285259481 | Jenna Ann Borrmann | Physical Therapy Assistant | 1 Emerson Dr, Windsor, CT 06095-3200 | 2020-06-12 |
| 1295378586 | Kristen Marie Shaw | Physical Therapist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2019-10-20 |
| 1669946588 | Olusegun Olaosebikan | Nurse Practitioner | 1 Emerson Dr, Windsor, CT 06095-3204 | 2019-01-14 |
| 1336631183 | Andrew Gray | Physical Therapy Assistant | 1 Emerson Dr, Windsor, CT 06095-3204 | 2018-06-06 |
| 1447764097 | Ishani Ravi Patel | Physical Therapist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2017-11-18 |
| 1790295772 | Melissa Lynn Bourgeois | Physical Therapist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2017-10-04 |
| 1275050791 | Amy Mccracken | Speech-Language Pathologist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2017-08-25 |
| 1285157339 | Tara Gehring | Physical Therapy Assistant | 1 Emerson Dr, Windsor, CT 06095-3204 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| 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 |
|---|---|---|---|---|
| 1144593930 | Forward Health | Skilled Nursing Facility | 6784 Bootmaker Way, Windsor, WI 53598-9630 | 2012-02-09 |
| 1205979580 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 1403 Conner Dr, Windsor, NC 27983-8514 | 2007-02-15 |
| 1528095486 | Windsor Care Center, Inc. | Skilled Nursing Facility | 5165 State Route 322, Windsor, OH 44099-9623 | 2006-06-27 |
| 1972545606 | Sp Windsor Health Investors, LLC | Skilled Nursing Facility | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2006-06-10 |
| 1063408276 | Truman Valley Health Care, Inc. | Skilled Nursing Facility | 809 W Benton St, Windsor, MO 65360-1239 | 2005-09-22 |
| 1770950495 | Windsor Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 581 Poquonock Ave, Windsor, CT 06095-2202 | 2015-08-28 |
| 1497148944 | Genesis Rehab Services | Skilled Nursing Facility | 1 Emerson Dr, Rehab Dept, Windsor, CT 06095-3204 | 2015-03-09 |
| 1194043414 | Genesis | Skilled Nursing Facility | 1 Emerson Dr, Windsor, CT 06095-3204 | 2010-05-11 |
| 1568620045 | Maria E. Hollister | Skilled Nursing Facility | 581 Poquonock Ave, Windsor, CT 06095-2202 | 2008-05-30 |
| 1699956110 | 1 Emerson Drive North Operations LLC | Skilled Nursing Facility | 1 Emerson Dr, Windsor, CT 06095-3204 | 2007-11-27 |
| Find all providers in WINDSOR | ||||
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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.