SPECTRUM HEALTHCARE HARTFORD, LLC (NPI# 1689655896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689655896 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTHCARE HARTFORD, LLC |
| Other Organization Name | PARK PLACE HEALTH CENTER |
| Practice Address |
5 Greenwood St Hartford CT 06106-2110 |
| Practice Telephone | 8608715454 |
| Practice Fax Number | 8608715757 |
| Mailing Telephone | 8608715454 |
| Mailing Fax Number | 8608715757 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DR. HOWARD WILLIAM DICKSTEIN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8608715454 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2286 | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000020081 | 05 |
| Other Name | Type Code |
|---|---|
| Park Place Health Center | Doing Business As Name - Organization |
| Street Address |
5 GREENWOOD ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741388 | Kimberly A Gagnon | Social Worker | 5 Greenwood St, Hartford, CT 06106-2110 | 2019-07-15 |
| 1801458716 | Michele A Wiggins | Social Worker | 5 Greenwood St, Hartford, CT 06106-2110 | 2019-07-01 |
| 1174097182 | Universal Healthcare Holdings LLC | Skilled Nursing Facility | 5 Greenwood St, Hartford, CT 06106-2110 | 2019-01-14 |
| 1245400555 | Psych Solutions LLC | Psychiatry & Neurology | 5 Greenwood St, Park Place Nursing Home, Hartford, CT 06106-2110 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| 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 |
|---|---|---|---|---|
| 1134338882 | Rehabcare | Skilled Nursing Facility | 1202 E Sumner St, Hartford, WI 53027-1600 | 2007-05-21 |
| 1124186523 | Chelsea Place Care Center LLC | Skilled Nursing Facility | 25 Lorraine St, Hartford, CT 06105-2242 | 2006-12-05 |
| 1902964307 | Trinity Hill Care Center LLC | Skilled Nursing Facility | 151 Hillside Ave, Hartford, CT 06106-3527 | 2006-12-05 |
| 1518956390 | New Professional Care Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 114 E Mcmurtry Ave, Hartford, KY 42347-1614 | 2005-10-14 |
| 1659368454 | Diversicare Hartford, LLC | Skilled Nursing Facility | 217 Toro Rd, Hartford, AL 36344-1459 | 2005-10-05 |
| 1447253281 | Health Care Reliance LLC D/b/a Ellis Manor | Skilled Nursing Facility | 210 George St, Hartford, CT 06114-2823 | 2005-05-24 |
| 1174097182 | Universal Healthcare Holdings LLC | Skilled Nursing Facility | 5 Greenwood St, Hartford, CT 06106-2110 | 2019-01-14 |
| 1801266937 | Lp Hartford, LLC | Skilled Nursing Facility | 114 E Mcmurtry Ave, Hartford, KY 42347-1614 | 2015-10-01 |
| 1063845865 | Southington Care Center | Skilled Nursing Facility | 2 Park Pl, Apt 14c, Hartford, CT 06106-5007 | 2013-08-15 |
| 1891988697 | Trinity Hill Care Center LLC | Skilled Nursing Facility | 151 Hillside Ave, Hartford, CT 06106 | 2007-08-24 |
| Find all providers in HARTFORD | ||||
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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.