JEWISH HOME FOR THE ELDERLY (NPI# 1881995009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881995009 |
| Entity Type | Organization |
| Organization Name | JEWISH HOME FOR THE ELDERLY |
| Practice Address |
175 Jefferson Street Fairfield CT 06825 |
| Practice Telephone | 2033656443 |
| Practice Fax Number | 2033961046 |
| Mailing Telephone | 2033656443 |
| Mailing Fax Number | 2033961046 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | JUDITH CARNICKY (RPT) |
| Authorized Official Telephone | 2033656443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1937 | CT | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427285998 | Jewish Home for The Elderly | Clinic/Center | 1 Post Rd Fl 1, Fairfield, CT 06824-6241 | 2009-06-11 |
| 1407078256 | Jewish Home for The Elderly | Clinic/Center | 240 Colony Street, Fairfield, CT 06824 | 2007-05-02 |
| 1518188002 | Jewish Home for The Elderly | Clinic/Center | 26 Palmers Hill Rd, Jewish Home At Patchworks, Stamford, CT 06902-2113 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC., THE | 4200 Park Avenue, Bridgeport, CT 06604-1049 |
| Street Address |
175 JEFFERSON STREET |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1588827653 | Valentine Edusa | Obstetrics & Gynecology | 2228 Black Rock Tpke Ste 211, Fairfield, CT 06825 | 2008-07-08 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1669728663 | Therapy Specialists | Skilled Nursing Facility | 2600 Estates Dr, Fairfield, CA 94533-9711 | 2012-07-27 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1639237555 | Cambridge Manor of Fairfield LLC | Skilled Nursing Facility | 2428 Easton Tpke, Fairfield, CT 06825-1122 | 2006-12-04 |
| 1053484261 | Fairfield Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 6825 Grasselli Rd, Fairfield, AL 35064-1727 | 2006-11-16 |
| 1316023674 | Nelson Nursing Home Corp | Skilled Nursing Facility | 807-809 West Taylor, Fairfield, IA 52556 | 2006-10-30 |
| 1235152679 | Sagar Inc. | Skilled Nursing Facility | 1244 Travis Blvd, Fairfield, CA 94533-4802 | 2006-07-26 |
| 1679508162 | Northern California Retired Officers Community | Skilled Nursing Facility | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2006-07-12 |
| 1013947795 | Ludlowe Center for Health and Rehabilitation, LLC | Skilled Nursing Facility | 118 Jefferson Street, Fairfield, CT 06825-1019 | 2006-07-05 |
| 1760427462 | Heartland-woodridge of Fairfield Oh LLC | Skilled Nursing Facility | 3801 Woodridge Blvd, Fairfield, OH 45014-3598 | 2006-06-17 |
| 1124061304 | Fairfield I Enterprises, LLC | Skilled Nursing Facility | 420 Moody St, Fairfield, TX 75840-3036 | 2006-06-14 |
| Find all providers in FAIRFIELD | ||||
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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.