WV-PARKWAY PAVILION LLC (NPI# 1821541194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821541194 |
| Entity Type | Organization |
| Organization Name | WV-PARKWAY PAVILION LLC |
| Other Organization Name | PARKWAY PAVILION HEALTH AND REHABILITATION CENTER |
| Practice Address |
1157 Enfield St Enfield CT 06082-4367 |
| Practice Telephone | 8607451641 |
| Mailing Telephone | 8607451641 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | MR. RAYMOND A. DENNEHY (PRINCIPAL) |
| Authorized Official Telephone | 9784647729 |
| Is Organization Subpart | Y |
| Parent Organization Name | WACHUSETT VENTURES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2395 | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Parkway Pavilion Health and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WV-PARKWAY PAVILION LLC | 11 Mayor Thomas J. Mcgrath Highway, Quincy, MA 02169 |
| Street Address |
1157 ENFIELD ST |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209570 | Parkway Pavilion Healthcare | Skilled Nursing Facility | 1157 Enfield St, Enfield, CT 06082-4329 | 2005-10-18 |
| 1750858684 | Brianna L Couture | Occupational Therapy Assistant | 1157 Enfield St, Enfield, CT 06082-4367 | 2018-10-29 |
| 1790252898 | Lauren Cloutier | Occupational Therapy Assistant | 1157 Enfield St, Enfield, CT 06082-4367 | 2018-10-26 |
| 1275000317 | Kayla Marie Zdanis | Physical Therapist | 1157 Enfield St, Enfield, CT 06082-4367 | 2018-10-26 |
| 1407274103 | Ch-parkway Pavillion LLC | Skilled Nursing Facility | 1157 Enfield St, Enfield, CT 06082-4367 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| 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 |
|---|---|---|---|---|
| 1821024274 | Eagle Peak Ltc Group, LLC | Skilled Nursing Facility | 208 Cary St, Enfield, NC 27823-1204 | 2006-06-25 |
| 1346283587 | Petersen Health & Wellness, LLC | Skilled Nursing Facility | 408 N. Wilson, Box 285, Enfield, IL 62835 | 2006-06-14 |
| 1043209570 | Parkway Pavilion Healthcare | Skilled Nursing Facility | 1157 Enfield St, Enfield, CT 06082-4329 | 2005-10-18 |
| 1205839065 | Health Care Alliance, Inc D/b/a/ Blair Manor | Skilled Nursing Facility | 612 Hazard Ave, Enfield, CT 06082-4225 | 2005-05-24 |
| 1407274103 | Ch-parkway Pavillion LLC | Skilled Nursing Facility | 1157 Enfield St, Enfield, CT 06082-4367 | 2014-04-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.