STELLA MEDICAL CARE LLC (NPI# 1255851481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255851481 |
| Entity Type | Organization |
| Organization Name | STELLA MEDICAL CARE LLC |
| Practice Address |
Villa At Stamford 88 Rock Rimmon Rd Stamford CT 06903 |
| Mailing Address |
34 Lawrence Hill Rd Stamford CT 06903 |
| Practice Telephone | 2039127807 |
| Practice Fax Number | 2033589775 |
| Mailing Telephone | 2039127807 |
| Mailing Fax Number | 2033589775 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | JACK DITEODORO (MANAGER) |
| Authorized Official Telephone | 2039127807 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 4729 | CT | Nursing & Custodial Care Facilities |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
VILLA AT STAMFORD 88 ROCK RIMMON RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447529284 | Emilio Delia | Pharmacist | 29 Fairway Drive, Stamford, CT 06903 | 2011-12-23 |
| 1174696017 | City of Stamford | Skilled Nursing Facility | 88 Rock Rimmon Road, Stamford, CT 06903 | 2006-11-16 |
| 1477622579 | Stanley Rosner & Blanche A. Rosner LLC | Social Worker | 415 Saw Mill Rd, Stamford, CT 06903 | 2006-11-06 |
| 1841759107 | Debra Fink Tomsky | Speech-Language Pathologist | 2 S Lake Dr, Stamford, CT 06903-1005 | 2019-03-17 |
| 1720357528 | Herbert Steven Cohen | Psychologist | 106 Gun Club Rd, Stamford, CT 06903-1024 | 2011-12-22 |
| 1164594065 | Family Life Psychological Services PC | Psychologist | 106 Gun Club Road, Stamford, CT 06903-1024 | 2006-11-15 |
| 1316265143 | Renew Counseling Associates | Community/Behavioral Health | 455 Old Long Ridge Rd, Stamford, CT 06903-1112 | 2010-05-04 |
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| 1023215043 | Lynn Merle Sussman | Psychologist | 1173 Rock Rimmon Rd, Stamford, CT 06903-1210 | 2007-07-02 |
| Find all providers in zip 06903 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665443 | Trina Patenaude Martin | Nurse Practitioner | 9 Dundee Rd, Stamford, CT 06903-3611 | 2015-12-28 |
| 1831565654 | Amanda Pucci | Nurse Practitioner | 1850 Summer St, Stamford, CT 06905-5015 | 2015-08-16 |
| 1336471184 | Gannel Jean-pierre | Nurse Practitioner | 382 High Ridge Rd, Stamford, CT 06905-3019 | 2010-02-04 |
| 1982769600 | Soohyun Nam | Nurse Practitioner | 30 Buxton Farm Rd, Stamford, CT 06905 | 2006-12-22 |
| 1013421015 | Arlene Elizabeth Butler | Nurse Practitioner | 1 Hospital Plaza, 3rd Floor - Center Building, Stamford, CT 06904 | 2017-11-29 |
| 1699226134 | Cara Ann Delvecchio | Nurse Practitioner | 190 W Broad St, Suite G401, Stamford, CT 06902-3633 | 2016-10-19 |
| 1083007686 | Lizabeth Munz Sachs | Nurse Practitioner | 190 W Broad St, Stamford, CT 06902-3633 | 2015-03-06 |
| 1437490620 | Mariana Negrila | Nurse Practitioner | 38 Bungalow Park, Stamford, CT 06902-6244 | 2013-03-13 |
| 1386949634 | Bibian Anyango Odhiambo | Nurse Practitioner | 29 Hospital Plz Ste 502, Stamford, CT 06902 | 2011-01-18 |
| 1639482268 | Patricia Ann Garst | Nurse Practitioner | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2010-07-25 |
| Find all providers in STAMFORD | ||||
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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.