CLINTON ALF OPERATIONS LLC (NPI# 1659982452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659982452 |
| Entity Type | Organization |
| Organization Name | CLINTON ALF OPERATIONS LLC |
| Practice Address |
91 E Main St Clinton CT 06413-2139 |
| Mailing Address |
410 Monmouth Ave Apt 304 Lakewood NJ 08701-3747 |
| Practice Telephone | 8606699300 |
| Mailing Telephone | 7324008574 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MR. DAVID HERZKA (OWNER) |
| Authorized Official Telephone | 3479939444 |
| 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 |
|---|---|
| Ocean Meadow Senior Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Clinton Alf Operations LLC | 475 Oberlin Avenue South, Suite 203, Lakewood, NJ 08701 |
| Street Address |
91 E MAIN ST |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| 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 |
|---|---|---|---|---|
| 1497360986 | Merle Newkirk | Assisted Living Facility | 7606 Fox Hunt Ct, Clinton, MD 20735-3063 | 2020-09-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1619491149 | Carolina Christian Ministrties | Assisted Living Facility | 300 Jacobs Hwy, Clinton, SC 29325-9400 | 2017-07-26 |
| 1649722158 | Chiama Group, Inc. | Assisted Living Facility | 6709 Briarcliff Dr, Clinton, MD 20735-4002 | 2016-11-01 |
| 1093188344 | Indiana's Center for Foot and Ankle Care, P.C. | Assisted Living Facility | 135 Green Forest Dr, Clinton, MS 39056-2235 | 2015-11-09 |
| 1457790420 | Peaceful Life Assisted Living | Assisted Living Facility | 7029 Groveton Dr, Clinton, MD 20735-4046 | 2013-06-22 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| 1104037563 | Country Pines Phase II Lc | Assisted Living Facility | 1706 W 1800 N, Clinton, UT 84015-8324 | 2007-05-25 |
| 1790991354 | Bristol Care, Inc. | Assisted Living Facility | 1402 E Franklin St, Clinton, MO 64735-1768 | 2007-05-14 |
| Find all providers in CLINTON | ||||
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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.