LUTHER RIDGE AT MIDDLETOWN, INC (NPI# 1851414585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851414585 |
| Entity Type | Organization |
| Organization Name | LUTHER RIDGE AT MIDDLETOWN, INC |
| Practice Address |
628 Congdon St W Middletown CT 06457-7939 |
| Practice Telephone | 8603477144 |
| Practice Fax Number | 8603473942 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN SOKOL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8603477144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0113 | CT | Nursing & Custodial Care Facilities |
| Street Address |
628 CONGDON ST W |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922334 | Paula Accomando | Physical Therapist | 628 Congdon St W, Middletown, CT 06457-7939 | 2014-04-14 |
| 1073842605 | Theresa Elizabeth Barney | Occupational Therapist | 628 Congdon St W, Middletown, CT 06457-7939 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1992112403 | Garden Manor Terrace, Inc. | Assisted Living Facility | 6898 Hamilton Middletown Rd, Middletown, OH 45044-7859 | 2014-07-16 |
| 1194069484 | The Eliot Management Group LLC | Assisted Living Facility | 12 John St, Middletown, NY 10940-4900 | 2012-11-27 |
| 1457607459 | C. Diederick Van Der Velde | Assisted Living Facility | 3000 Mcgee Ave, Middletown, OH 45044-4991 | 2012-07-27 |
| 1013213974 | Pram/middletown Te, LLC | Assisted Living Facility | 3851 Towne Blvd, Middletown, OH 45005-5595 | 2011-02-09 |
| 1003057738 | Close To Home II, LLC | Assisted Living Facility | 3712 Roosevelt Blvd, Middletown, OH 45044-6515 | 2009-03-09 |
| 1225275860 | Serenity Gardens Recuperation Center | Assisted Living Facility | 207 Ruth Dr, Middletown, DE 19709-9470 | 2009-01-20 |
| 1265586549 | Prime Care One, LLC | Assisted Living Facility | 620 State Route 35, Middletown, NJ 07748-4224 | 2007-01-23 |
| 1649212044 | Middlesex Health Services, Inc. | Assisted Living Facility | 1 Macdonough Pl, Middletown, CT 06457-3607 | 2006-06-11 |
| 1710592605 | Hamlet At Wallkill | Assisted Living Facility | 21 Riverside Dr, Middletown, NY 10941-4048 | 2020-09-09 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on LUTHER RIDGE AT MIDDLETOWN, INC.
| 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.