MULBERRY GARDENS (NPI# 1972720076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972720076 |
| Entity Type | Organization |
| Organization Name | MULBERRY GARDENS |
| Practice Address |
58 Mulberry St Plantsville CT 06479-1704 |
| Practice Telephone | 8602761020 |
| Practice Fax Number | 8603781081 |
| Mailing Telephone | 8602761020 |
| Mailing Fax Number | 8603781081 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PERRY PHILLIPS (DIRECTOR) |
| Authorized Official Telephone | 8602761020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL-0035 | CT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MULBERRY GARDENS ASSISTED LIVING | 9310 Ne Vancouver Mall Drive, Suite 200, Vancouver, WA 98662 |
| Washington State Corporations | MULBERRY GARDENS MC TENANT I, LLC | 1910 Fairview Ave E Ste 200, Seattle, WA 98102-3698 |
| Washington State Corporations | MULBERRY GARDENS MC TENANT, LLC | 9310 Ne Vancouver Mall Dr #200, Vancouver, WA 98662 |
| Street Address |
58 MULBERRY ST |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586839 | Ashley Dacosta | Social Worker | 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 | 2019-03-12 |
| 1598263881 | Cassandra Marcheggiani, LLC | Social Worker | 710 Main Street Bldg 2, Ste. 5, Plantsville, CT 06479 | 2018-02-01 |
| 1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
| 1134550023 | Melanie Ann Edman | Social Worker | 29 Charles Street, Plantsville, CT 06479 | 2013-12-03 |
| 1447524228 | Joseph Anthony Picone Sr. | Dentist | 954 S. Main St., Plantsville, CT 06479 | 2012-02-27 |
| 1760784250 | Jsl Connections, LLC | Counselor | 16 Cornerstone Court, Suite 5, Plantsville, CT 06479 | 2010-12-03 |
| 1710125026 | Paul Poutouves | Physical Therapist | 149 Jubilee Dr, Plantsville, CT 06479 | 2009-01-23 |
| 1871709725 | Essential Dental, LLC | Dentist | 1090 Meriden Waterbury Tpke, Suite 2, Plantsville, CT 06479 | 2007-05-15 |
| 1568680528 | Alkesh V Patel Md LLC | Pediatrics | 710 Main Street Bldg 1, Plantsville, CT 06479 | 2007-04-23 |
| 1083754964 | Neil D Salesky | Dentist | 15 3a Cornerstone Ct, Plantsville, CT 06479 | 2007-02-08 |
| Find all providers in zip 06479 | ||||
| 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 |
|---|---|---|---|---|
| 1053926295 | Keystone Place At Wooster Heights, LLC | Assisted Living Facility | 66 Wooster Hts, Danbury, CT 06810-6685 | 2020-09-14 |
| 1831703842 | Keystone Place At Newbury Brook, LLC | Assisted Living Facility | 1058 Litchfield St, Torrington, CT 06790-6100 | 2020-09-08 |
| 1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
| 1528617529 | Prime Care One, LLC | Assisted Living Facility | 211 Danbury Rd, Wilton, CT 06897-4005 | 2019-09-11 |
| 1184280893 | Masonicare Home Health and Hospice, Inc. | Assisted Living Facility | 3 Myrtle Dr, Norwich, CT 06360-1545 | 2019-05-17 |
| 1871156828 | The Jewish Home for The Elderly of Fairfield County | Assisted Living Facility | 60 Gregory Blvd, Norwalk, CT 06855-2043 | 2019-04-16 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1760995344 | Hartford Hospital D/b/a Cedar Mountain Commons | Assisted Living Facility | 3 John H. Stewart Drive, Newington, CT 06111-3166 | 2017-11-06 |
| 1013300664 | Maplewood At Stony Hill, LLC | Assisted Living Facility | 46 Stony Hill Rd, Bethel, CT 06801-3034 | 2015-03-06 |
| 1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
| Find all providers with the same taxonomy | ||||
| City | PLANTSVILLE |
| Zip Code | 06479 |
Please comment or provide details below to improve the information on MULBERRY GARDENS.
| 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.