PROSPECT MANCHESTER HOSPITAL, INC. (NPI# 1821695222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821695222 |
| Entity Type | Organization |
| Organization Name | PROSPECT MANCHESTER HOSPITAL, INC. |
| Practice Address |
2800 Tamarack Ave Ste 100 South Windsor CT 06074-5553 |
| Practice Telephone | 8606476824 |
| Mailing Telephone | 8606476824 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | ROBERT JON ELDERS (SECRETARY) |
| Authorized Official Telephone | 7147881249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| ECHN Diabetes Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316394638 | Prospect Manchester Hospital, Inc. | Clinic/Center | 71 Haynes St, Manchester, CT 06040-4131 | 2016-05-17 |
| 1225484751 | Prospect Manchester Hospital, Inc. | Nurse Practitioner | 320 Main St, Manchester, CT 06040-4144 | 2016-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Prospect Manchester Hospital, Inc. | 3415 S. Sepulveda Blvd., 9th Floor, Los Angeles, CA 90034 |
| Street Address |
2800 TAMARACK AVE STE 100 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922672 | Jillian Miner | Health Educator | 2800 Tamarack Ave Ste 100, South Windsor, CT 06074-5553 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780115 | Aimee Chandler | Health Educator | 2800 Tamarack Ave, South Windsor, CT 06074-5539 | 2020-11-03 |
| 1154922672 | Jillian Miner | Health Educator | 2800 Tamarack Ave Ste 100, South Windsor, CT 06074-5553 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738685 | Florence Oten | Health Educator | 477 Connecticut Blvd Ste 202, East Hartford, CT 06108-3228 | 2020-07-29 |
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1043796568 | Yekaterina Gabova | Health Educator | 250 Myrtle Ave Ofc 204, Bridgeport, CT 06604-7762 | 2018-07-17 |
| 1912442088 | The Young Men's Christian Association of Wallingford, Incorporated | Health Educator | 81 S Elm St, Wallingford, CT 06492-4703 | 2016-12-28 |
| 1609311877 | Young Men's Christian Association of Metropolitan Hartford, Inc. | Health Educator | 50 State House Sq, Hartford, CT 06103-3902 | 2016-12-27 |
| 1265977524 | Central Connecticut Coast Young Men's Christian Association, Inc. | Health Educator | 1240 Chapel St, New Haven, CT 06511-4602 | 2016-12-22 |
| 1174070064 | The Riverbrook Regional Young Men's Christian Association, Inc. | Health Educator | 404 Danbury Rd, Wilton, CT 06897-2005 | 2016-09-08 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1205297827 | Young Men's Christian Association of Northern Middlesex County, Inc. | Health Educator | 99 Union St, Middletown, CT 06457-3427 | 2016-03-09 |
| 1538538681 | Walter Heimann | Health Educator | 10 Jean Rd, Manchester, CT 06040-4514 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.