HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP (NPI# 1922031228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922031228 |
| Entity Type | Organization |
| Organization Name | HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP |
| Other Organization Name | WILLOWS CARE AND REHABILITATION CENTER |
| Practice Address |
225 Amity Rd Woodbridge CT 06525-2206 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 2033870076 |
| Practice Fax Number | 2033973653 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2202-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 20553 | 05 |
| Other Name | Type Code |
|---|---|
| Willows Care and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515256 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 36 Firetown Rd, Simsbury, CT 06070-1965 | 2006-07-07 |
| 1629005079 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 850 Mix Ave, Hamden, CT 06514-2102 | 2006-06-28 |
| 1134152432 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 1 Emily Way, West Hartford, CT 06107-3136 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
225 AMITY RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386132587 | Lynn Albert | Occupational Therapy Assistant | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2018-04-24 |
| 1073062667 | Nickole Brick | Speech-Language Pathologist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2016-09-24 |
| 1215482708 | Michelle Lynne Martin | Occupational Therapist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2016-08-24 |
| 1679953046 | Caryn Cartledge | Occupational Therapist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2015-06-01 |
| 1992139448 | Kelsey Caryn Falcha | Physical Therapy Assistant | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2013-09-01 |
| 1053656405 | Jessica L Cronk | Physical Therapist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2012-12-11 |
| 1982949822 | Ashley Carroll | Occupational Therapy Assistant | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2012-12-04 |
| 1972848117 | Gail Briggs-malanson | Physical Therapist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2012-11-28 |
| 1891039129 | Monika Chhabra | Physical Therapist | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2012-11-27 |
| 1841534146 | Amanda Michelle Snelgrove | Occupational Therapy Assistant | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| 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 |
|---|---|---|---|---|
| 1043555097 | Cindya Y Umana | Skilled Nursing Facility | 6070 Ponhill Dr, Woodbridge, VA 22193-3951 | 2012-12-03 |
| 1851315261 | Ruxton Health Care IIi, LLC | Skilled Nursing Facility | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2006-07-27 |
| 1952389272 | Little Servant Sisters - St. Joseph's Home Assisted Living and Nursing | Skilled Nursing Facility | 1-3 Saint Joseph Ter, Woodbridge, NJ 07095-2611 | 2006-01-06 |
| 1205089240 | Envoy of Woodbridge, LLC | Skilled Nursing Facility | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2008-11-03 |
| 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 | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
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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.