CEDAR LANE REHABILITATION & HEALTH CARE CTR LLC (NPI# 1154313310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154313310 |
| Entity Type | Organization |
| Organization Name | CEDAR LANE REHABILITATION & HEALTH CARE CTR LLC |
| Other Organization Name | VILLAGE GREEN OF WATERBURY REHABILITATION AND HEALTH CENTER |
| Practice Address |
128 Cedar Avenue Waterbury CT 06705-2700 |
| Mailing Address |
538 Preston Ave Suite 270 Meriden CT 06450-4851 |
| Practice Telephone | 2037579271 |
| Practice Fax Number | 2037572988 |
| Mailing Telephone | 2036086100 |
| Mailing Fax Number | 2036393574 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | MS. CAROLE M. SCILLIA (LLC MANAGER) |
| Authorized Official Telephone | 2036086100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT SUBACUTE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 2225C | CT | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2225-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000520157 | 05 |
| Other Name | Type Code |
|---|---|
| Village Green of Waterbury Rehabilitation and Health Center | Doing Business As Name - Organization |
| Street Address |
128 CEDAR AVENUE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819580 | Cedar Lane Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 128 Cedar Avenue, Waterbury, CT 06705-2700 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| 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 |
|---|---|---|---|---|
| 1982072062 | Waterbury Gardens Nursing and Rehab LLC | Skilled Nursing Facility | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2015-09-08 |
| 1871613562 | Rosegarden Health and Rehabilitation Center LLC | Skilled Nursing Facility | 3584 E Main St, Waterbury, CT 06705-3850 | 2007-03-29 |
| 1912952359 | Marathon Healthcare Center of Waterbury LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2006-05-24 |
| 1386605350 | Meridian Manor Corp | Skilled Nursing Facility | 1132 Meriden Rd, Waterbury, CT 06705 | 2006-03-30 |
| 1578536959 | Ti - Waterbury LLC | Skilled Nursing Facility | 2817 N Main St, Waterbury, CT 06704-1604 | 2006-02-08 |
| 1831185883 | Cheshire House LLC | Skilled Nursing Facility | 3396 E Main St, Waterbury, CT 06705-3812 | 2005-09-26 |
| 1669474961 | Grove Manor Nursing Home, Inc. | Skilled Nursing Facility | 145 Grove St, Waterbury, CT 06710-2202 | 2005-06-01 |
| 1962405720 | Health Care Ventures Inc Dba Crescent Manor | Skilled Nursing Facility | 1243 W Main St, Waterbury, CT 06708-3101 | 2005-05-24 |
| 1982062774 | Regalcare At Torrington LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2016-02-08 |
| 1518325315 | Regalcare At Waterbury LLC | Skilled Nursing Facility | 177 Whitewood Rd, Waterbury, CT 06708-1545 | 2016-02-08 |
| Find all providers in WATERBURY | ||||
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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.