CHESTELM HEALTH CARE, INC (NPI# 1982609673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982609673 |
| Entity Type | Organization |
| Organization Name | CHESTELM HEALTH CARE, INC |
| Practice Address |
534 Town St Moodus CT 06469-1101 |
| Practice Telephone | 8608731455 |
| Practice Fax Number | 8608732307 |
| Mailing Telephone | 8608731455 |
| Mailing Fax Number | 8608732307 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-09-06 |
| Authorized Official Name | MRS. BRENDA MARINAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8608731455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 314000000X | Skilled Nursing Facility | 2196-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000091793 | 05 | |
| CT | 000010298 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHESTELM HEALTH CARE, INC. | 534 Town St., Moodus, CT 06469 |
| Street Address |
534 TOWN ST |
| City | MOODUS |
| State | CT |
| Zip Code | 06469-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811437767 | Andrew Lizotte | Physical Therapy Assistant | 534 Town St, Moodus, CT 06469-1101 | 2017-02-26 |
| 1093180762 | Jessica Pandolfe | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2015-12-07 |
| 1134529324 | Jeff Baker | Physical Therapist | 534 Town St, Moodus, CT 06469-1101 | 2014-08-26 |
| 1831431329 | Charmian A. Sundell | Physical Therapist | 534 Town St, Moodus, CT 06469-1101 | 2013-03-22 |
| 1326325911 | Elizabeth Almquist | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875712 | Chestelm Adult Day Services Inc | Clinic/Center | 542 Town Street, Moodus, CT 06469 | 2007-05-02 |
| 1588725345 | Steven M Pear | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-13 |
| 1679663066 | East Haddam Public Schools | Local Education Agency (LEA) | 26 Plains Rd, Moodus, CT 06469 | 2006-10-13 |
| 1528162633 | East Haddam Dental Associates PC | Dentist | 32 William F Palmer Road, Moodus, CT 06469 | 2006-09-11 |
| 1427110048 | Karl Peter Stofko | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-14 |
| 1396147708 | Christopher Petersen | Registered Nurse | 28 Leesville Rd, Moodus, CT 06469-1003 | 2014-09-17 |
| 1720513666 | Wellness Within, LLC | Social Worker | 424 E Haddam Moodus Rd, Moodus, CT 06469-1024 | 2017-04-28 |
| 1710315734 | East Haddam Board of Education | Local Education Agency (LEA) | 26 Plains Rd, Moodus, CT 06469-1124 | 2013-10-30 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1063472363 | East Haddam Medical Associate,pc | Family Medicine | 16 William F Palmer Rd, Moodus, CT 06469-1131 | 2006-03-23 |
| Find all providers in zip 06469 | ||||
| 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. |
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|---|---|---|---|---|
| 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 | ||||
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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.