SHELTON LAKES HEALTH CARE CENTER, INC (NPI# 1669502365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669502365 |
| Entity Type | Organization |
| Organization Name | SHELTON LAKES HEALTH CARE CENTER, INC |
| Practice Address |
5 Lake Rd Shelton CT 06484-2967 |
| Practice Telephone | 2039242635 |
| Practice Fax Number | 2039240034 |
| Mailing Telephone | 2039242635 |
| Mailing Fax Number | 2039240034 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | MR. MARK HAMBLEY (CFO) |
| Authorized Official Telephone | 8606789755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2298-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000010173 | 05 |
| Street Address |
5 LAKE RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746825 | Cassandra Foy | Speech-Language Pathologist | 5 Lake Rd, Shelton, CT 06484-2967 | 2019-02-14 |
| 1316349756 | Meghan Kelley | Speech-Language Pathologist | 5 Lake Rd, Shelton, CT 06484-2967 | 2014-09-17 |
| 1982011532 | Camille Velez | Physical Therapist | 5 Lake Rd, Shelton, CT 06484-2967 | 2014-07-15 |
| 1992141402 | Jennifer T. Ciasulli | Occupational Therapist | 5 Lake Rd, Shelton, CT 06484-2967 | 2013-05-13 |
| 1619229176 | Samantha Krupa | Physical Therapist | 5 Lake Rd, Shelton, CT 06484-2967 | 2012-10-09 |
| 1710263900 | Ashley Kearns | Physical Therapist | 5 Lake Rd, Shelton, CT 06484-2967 | 2011-11-01 |
| 1992951461 | Deborah G Fraser | Physical Therapist | 5 Lake Rd, Shelton, CT 06484-2967 | 2008-08-14 |
| 1538367164 | Shari France | Physical Therapist | 5 Lake Rd, Shelton, CT 06484 | 2007-07-05 |
| 1780714154 | Shelton Lakes Health Care Center | Custodial Care Facility | 5 Lake Rd, Shelton, CT 06484-2967 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1851428387 | Bishop Wicke Health and Rehabilitation Center Inc | Skilled Nursing Facility | 580 Long Hill Ave, Shelton, CT 06484-4803 | 2007-02-28 |
| 1629140009 | Fir Lane Health - Shelton, LLC | Skilled Nursing Facility | 2430 N 13th St, Shelton, WA 98584-1213 | 2006-11-14 |
| 1891725008 | Gardner Heights Health Care Center | Skilled Nursing Facility | 172 Rocky Rest Rd, Shelton, CT 06484 | 2006-07-04 |
| 1811925266 | Hewitt Health & Rehabilitation | Skilled Nursing Facility | 45 Maltby Street, Shelton, CT 06484 | 2006-06-28 |
| 1427006220 | Evergreen At Shelton, L.L.C. | Skilled Nursing Facility | 153 Johns Ct, Shelton, WA 98584-8225 | 2006-05-04 |
| 1558351247 | Bishop Wicke | Skilled Nursing Facility | 584 Long Hill Ave, Shelton, CT 06484-4810 | 2005-10-25 |
| 1437557725 | Fmg North 13th Street Washington | Skilled Nursing Facility | 2430 N 13th St, Shelton, WA 98584-1213 | 2014-12-18 |
| 1689935330 | Alliance Rehabilitation of Connecticut | Skilled Nursing Facility | 584 Long Hill Ave, Shelton, CT 06484-4810 | 2012-05-30 |
| 1396022422 | Allstar Therapy | Skilled Nursing Facility | 45 Maltby St, Shelton, CT 06484-3328 | 2011-11-03 |
| Find all providers in SHELTON | ||||
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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.