GAYLORD HOSPITAL, INC. (NPI# 1730137753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730137753 |
| Entity Type | Organization |
| Organization Name | GAYLORD HOSPITAL, INC. |
| Other Organization Name | GAYLORD HOSPITAL |
| Practice Address |
Gaylord Farm Rd. Wallingford CT 06492 |
| Mailing Address |
Gaylord Farm Rd. Po Box 400 Wallingford CT 06492 |
| Practice Telephone | 2032842800 |
| Practice Fax Number | 2032943294 |
| Mailing Telephone | 2032842800 |
| Mailing Fax Number | 2032943294 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | STEPHEN HOLLAND (CMO) |
| Authorized Official Telephone | 2032842800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000070029 | 05 | |
| CT | 004025284 | 05 |
| Other Name | Type Code |
|---|---|
| Gaylord Hospital | Doing Business As Name - Organization |
| Street Address |
GAYLORD FARM RD. |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033257803 | Joanne Hutt | Psychologist | Gaylord Farm Rd., Wallingford, CT 06492 | 2007-02-02 |
| 1447288741 | John William O'brien | Physical Medicine & Rehabilitation | Gaylord Farm Rd., Wallingford, CT 06492 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700902236 | Kyee Tint Maw | Long Term Care Hospital | 40 Mayflower Cir, Fairfield, CT 06824-3936 | 2007-03-22 |
| 1912382185 | 23 Fair Street Operations LLC | Long Term Care Hospital | 23 Fair St, Bristol, CT 06010-5531 | 2015-07-29 |
| 1356725618 | St. Mary's Hospital | Long Term Care Hospital | 56 Franklin St, Waterbury, CT 06706-1253 | 2015-07-16 |
| 1285819839 | Hebrew Health Care | Long Term Care Hospital | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2008-01-02 |
| 1346425998 | Hebrew Home and Hospital | Long Term Care Hospital | 1 Abrahms Blvd, West Hartford, CT 06117 | 2008-01-02 |
| 1669453916 | Hebrew Home and Hospital Inc | Long Term Care Hospital | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2005-11-11 |
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.