Southington SNF, LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2262C Issued in CT

Legal business name

SOUTHINGTON SNF, LLC.

Practice address

261 Summit St
Plantsville, CT 06479-1124

Phone

(860) 628-0364

Fax

(860) 628-9166

NPI assigned

Apr 16, 2013

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE ASSOCIATESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Mosier

Title

Cfo

Phone

(860) 751-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Summit At Plantsville Doing business as

Part of

Athena Health Care Associates Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Athena Health Care Associates Inc

  • Skilled Nursing Facility
  • Farmington, CT
  • NPI 1053690149
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1003259409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SUMMIT ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791124",
            "telephone_number": "860-628-0364",
            "fax_number": "860-628-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SUMMIT ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791124",
            "telephone_number": "860-628-0364",
            "fax_number": "860-628-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON SNF, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2262C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009464",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Summit At Plantsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solstice Counseling LLC
• Soul Alignment Counseling LLC
• Southington Dental Group
• Southington Family Dentistry
• Southington SNF LLC
• Ira Lawrence Spar, MDPC
• Maeghan Elizabeth Spear, DPT
• Steven G Spector, MD
• Kimberly St. Pierre, APRN
• Ayelet Stein, PMHNP-BC

• Skilled Nursing Facility in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.