PROSPECT ECHN ELDERCARE SERVICES, INC. (NPI# 1518314020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518314020 |
| Entity Type | Organization |
| Organization Name | PROSPECT ECHN ELDERCARE SERVICES, INC. |
| Other Organization Name | WOODLAKE AT TOLLAND |
| Practice Address |
26 Shenipsit Lake Rd Tolland CT 06084-2332 |
| Practice Telephone | 8608963283 |
| Mailing Telephone | 8608963283 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodlake at Tolland | Other Name - Individual/Organization |
| Street Address |
26 SHENIPSIT LAKE RD |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855579 | Deborah M. Lines | Physical Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2012-02-08 |
| 1891313383 | Melanie Russo | Speech-Language Pathologist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2020-07-10 |
| 1457816753 | Katlin Luu | Registered Nurse | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2019-01-31 |
| 1659899375 | Chelsea Dawn Malinowski | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2017-09-01 |
| 1407370976 | Audrey Maureen Kemp | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2017-07-27 |
| 1669875357 | Melissa Procaccini | Specialist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2014-10-08 |
| 1700206018 | Camylle Appiahene | Nurse Practitioner | 26 Shenipsit Lake Rd, Tolland, CT 06084 | 2014-04-25 |
| 1871925677 | Laura Mills | Physical Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084 | 2013-08-02 |
| 1417389404 | Marcy Celeste Racicot | Occupational Therapist | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2013-08-01 |
| 1932531837 | Lloyd Robichaux | Physical Therapy Assistant | 26 Shenipsit Lake Rd, Tolland, CT 06084-2332 | 2013-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1205363124 | Helen Charette, Msw, Lcsw, LLC | Social Worker | 355 Sugar Hill Rd., Tolland, CT 06084 | 2017-05-23 |
| 1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
| 1548527898 | Ruth Wassik | Occupational Therapy Assistant | 26 Shenipsit Road, Tolland, CT 06084 | 2012-04-11 |
| 1063703551 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 384 L Merrow Road, Tolland, CT 06084 | 2011-05-02 |
| 1326351412 | Behavioral Wellness Clinic | Social Worker | Behavioral Wellness Clinic, 392 Merrow Road, Suite E, Tolland, CT 06084 | 2010-07-19 |
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 1306932215 | Beth Schweitzer | Family Medicine | 6 Fieldstone Commons, Suite D, Tolland, CT 06084 | 2006-10-05 |
| 1942302898 | Joseph Macione | Psychologist | 175 Walbridge Hill Rd, Administractive Office, Tolland, CT 06084 | 2006-09-02 |
| Find all providers in zip 06084 | ||||
| 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 |
|---|---|---|---|---|
| 1053926295 | Keystone Place At Wooster Heights, LLC | Assisted Living Facility | 66 Wooster Hts, Danbury, CT 06810-6685 | 2020-09-14 |
| 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 |
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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.