JOHNSON MEMORIAL HOSPITAL, INC. (NPI# 1265826796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265826796 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HOSPITAL, INC. |
| Practice Address |
88 Hillyndale Rd Storrs CT 06268-1802 |
| Practice Telephone | 8604876020 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | SARAH CAINE (REGISTERED NURSE) |
| Authorized Official Telephone | 8604876020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 099454 | CT | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932123569 | Johnson Memorial Hospital, Inc. | General Practice | 201 Chestnut Hill Road, Stafford Springs, CT 06076-0860 | 2006-07-27 |
| 1972728442 | Johnson Memorial Hospital, Inc. | Internal Medicine | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2007-04-17 |
| 1053480293 | Johnson Memorial Hospital, Inc. | Psychiatry & Neurology | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | JOHNSON MEMORIAL HOSPITAL, INC. | 201 Chestnut Hill Road, Stafford Springs, CT 06076 |
| Street Address |
88 HILLYNDALE RD |
| City | STORRS |
| State | CT |
| Zip Code | 06268-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
| 1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
| 1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1770827776 | Annmarie Green Bolduc | Nurse Practitioner | 1 Royce Circle, Ste 104, Uconn Medical Group, Storrs, CT 06268 | 2012-11-15 |
| 1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
| 1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
| 1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
| 1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
| Find all providers in zip 06268 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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| 1194857581 | Filosa Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 31 Staple St, Danbury, CT 06810-5323 | 2007-03-12 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1275609398 | Clintonville Manor | Nursing Facility/Intermediate Care Facility | 201 Clintonville Rd, North Haven, CT 06473-2409 | 2006-11-28 |
| 1487724175 | Hewitt Health and Rehab Center | Nursing Facility/Intermediate Care Facility | 45 Maltby St, Shelton, CT 06484-3328 | 2006-11-09 |
| 1851402382 | St Mary Home, Incorporated | Nursing Facility/Intermediate Care Facility | 2021 Albany Ave, West Hartford, CT 06117-2755 | 2006-08-31 |
| 1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.