PARK CITY ADULT DAY CARE INC. (NPI# 1891813507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891813507 |
Entity Type | Organization |
Organization Name | PARK CITY ADULT DAY CARE INC. |
Practice Address |
55 Chapel St Bridgeport CT 06614 |
Practice Telephone | 2033351001 |
Practice Fax Number | 2033319935 |
Mailing Telephone | 2033351001 |
Mailing Fax Number | 2033319935 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. RITA E. CARLSON (ADMINISTRATOR) |
Authorized Official Telephone | 2033351001 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
55 CHAPEL ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265747877 | Mckinley Williams | Clinic/Center | 3428 S. Tower Line, Bridgeport, MI 48722-9542 | 2010-08-09 |
1255890562 | Complete Care Health Services, LLC | Clinic/Center | 144 Golden Hill St, Bridgeport, CT 06604-4117 | 2019-03-16 |
1619189941 | The Jewish Home for The Elderly of Fairfield County Inc | Clinic/Center | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2007-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942820196 | Golden Days Adult Care Center LLC | Clinic/Center | 24 Rossotto Dr, Hamden, CT 06514-1335 | 2020-04-17 |
1467092502 | East Shore Regional Adult Day Care Center, Inc | Clinic/Center | 421 Shore Dr, Branford, CT 06405-6228 | 2020-01-07 |
1609417229 | Litchfield Hills Adult Day Care LLC | Clinic/Center | 407 Bantam Rd, Litchfield, CT 06759-3320 | 2019-10-04 |
1619485166 | Hlc Partners LLC | Clinic/Center | 39 Marme St, Hamden, CT 06514 | 2018-01-18 |
1366899809 | Family Adult Day Care | Clinic/Center | 445a Willard Ave, Newington, CT 06111-2318 | 2016-05-14 |
1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
1427285998 | Jewish Home for The Elderly | Clinic/Center | 1 Post Rd Fl 1, Fairfield, CT 06824-6241 | 2009-06-11 |
1033391594 | Hospital of Saint Raphael | Clinic/Center | 196 Park St Apt 7, New Haven, CT 06511-4761 | 2007-11-27 |
1154521987 | Friendship Circle Inc. | Clinic/Center | 280 Country Club Rd, Avon, CT 06001-2508 | 2007-07-19 |
1851508303 | Day Break At Hartford LLC | Clinic/Center | 243 S Whitney St, Hartford, CT 06105-3001 | 2007-05-16 |
Find all providers with the same taxonomy |
City | BRIDGEPORT |
Zip Code | 06614 |
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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.