BETHEL HEALTH AND REHABILITATION CENTER LLC (NPI# 1740382803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740382803 |
Entity Type | Organization |
Organization Name | BETHEL HEALTH AND REHABILITATION CENTER LLC |
Practice Address |
13 Park Lawn Dr Bethel CT 06801-1043 |
Practice Telephone | 2038304180 |
Practice Fax Number | 2038304185 |
Mailing Telephone | 2038304180 |
Mailing Fax Number | 2038304185 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2011-04-29 |
Authorized Official Name | MRS. MARY G. BUTLER (ASSISTANT ADMINISTRATOR) |
Authorized Official Telephone | 2038304180 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2218C | CT | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 000021387 | 05 | |
CT | DEPT OF HEALTH LICENSE | 2218C | 01 |
Street Address |
13 PARK LAWN DR |
City | BETHEL |
State | CT |
Zip Code | 06801-1043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689272635 | Eileen Bow | Physical Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-10-13 |
1073111027 | Jessica Chance | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-10-13 |
1255940763 | Olivia Armater | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-07-30 |
1033727078 | Paul Mainella | Registered Nurse | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-07-15 |
1093287922 | Jenny Huynh | Speech-Language Pathologist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2018-12-17 |
1255806832 | Catherine Cardillo | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2018-10-10 |
1437636339 | Sharon Donnelly | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2018-07-24 |
1972990349 | Vicki Clark | Specialist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2015-04-23 |
1144637349 | Christine Ruzicka Edge | Dietitian, Registered | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2014-07-20 |
1679901052 | Beth Batchler | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2013-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
Find all providers in zip 06801 |
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 |
---|---|---|---|---|
1821438342 | Yukon-kuskokwim Health Corporation | Skilled Nursing Facility | 1100 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2013-06-28 |
1811095425 | H&g Nursing Homes, Inc | Skilled Nursing Facility | 322 S Charity St, Bethel, OH 45106-1324 | 2006-09-20 |
1144573411 | Mary Ellen Oliva | Skilled Nursing Facility | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2012-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
1275069221 | 88 Clark Operating LLC | Skilled Nursing Facility | 88 Clark Ln, Waterford, CT 06385-2118 | 2017-05-11 |
1568837102 | Amanda Byrnes | Skilled Nursing Facility | 19 Sandra Ave, Terryville, CT 06786-5016 | 2015-12-08 |
1629447727 | Medi-np, LLC | Skilled Nursing Facility | 25 Hidden Pines Cir, Meriden, CT 06451-2212 | 2015-09-18 |
1982072062 | Waterbury Gardens Nursing and Rehab LLC | Skilled Nursing Facility | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2015-09-08 |
1275918443 | 55 Kondracki Lane Operations LLC | Skilled Nursing Facility | 55 Kondracki Ln, Wallingford, CT 06492-4951 | 2015-07-29 |
1285012369 | Katherine Bushey | Skilled Nursing Facility | 1270 Sherman Ave, Hamden, CT 06514-1330 | 2015-05-11 |
1053798256 | Ltc Dental LLP | Skilled Nursing Facility | 174 Scott Rd, Prospect, CT 06712-1300 | 2015-04-27 |
1316354228 | Maplewood Mayflower Place Snf LLC | Skilled Nursing Facility | 1 Gorham Is, Westport, CT 06880-3217 | 2014-07-14 |
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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.