SIMONETTI REALTY INC (NPI# 1578784658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578784658 |
| Entity Type | Organization |
| Organization Name | SIMONETTI REALTY INC |
| Other Organization Name | MARSHALL LANE MANOR |
| Practice Address |
101 Marshall Ln Derby CT 06418-2347 |
| Practice Telephone | 2037343393 |
| Practice Fax Number | 2037342100 |
| Mailing Telephone | 2037343393 |
| Mailing Fax Number | 2037342100 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | PATRICIA ANN MCCALLUM (OFFICE MANAGER) |
| Authorized Official Telephone | 2037343393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 102RH | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000091025 | 05 |
| Other Name | Type Code |
|---|---|
| marshall lane manor | Doing Business As Name - Organization |
| Street Address |
101 MARSHALL LN |
| City | DERBY |
| State | CT |
| Zip Code | 06418-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265826796 | Johnson Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 88 Hillyndale Rd, Storrs, CT 06268-1802 | 2015-03-23 |
| 1184838039 | Connecticut Baptist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 292 Thorpe Avenue, Meriden, CT 06450 | 2007-05-10 |
| 1649395781 | Yale New Haven Ambulatory Services Corp | Nursing Facility/Intermediate Care Facility | 229 George Street, Floor 3, New Haven, CT 06510 | 2007-03-20 |
| 1942324389 | New Haven Health Care | Nursing Facility/Intermediate Care Facility | 34 Level St, New Haven, CT 06515-1017 | 2007-03-19 |
| 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 |
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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.