Organization Active NPI

Maefair Health Care Center Inc

  • Skilled Nursing Facility
  • Trumbull, CT
National Provider Identifier
1033173448
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2142-C Issued in CT
Legal business name
MAEFAIR HEALTH CARE CENTER INC
Doing business as
Maefair Health Care Center
Practice address
21 Maefair CT
Trumbull, CT 06611-4871
Phone
(203) 459-5152
Fax
(203) 459-5156
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lawrence G. Santilli
Title
President/Ceo
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2142-C CT Primary

Addresses

Primary practice location

21 Maefair CT
Trumbull, CT 06611-4871

Mailing address

21 Maefair CT
Trumbull, CT 06611-4871
Phone (203) 459-5152

Other identifiers 1

IdentifierTypeStateIssuer
000021428MedicaidCT

Other names 1

  • Maefair Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1033173448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAEFAIR CT",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114871",
            "telephone_number": "203-459-5152",
            "fax_number": "203-459-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAEFAIR CT",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114871",
            "telephone_number": "203-459-5152",
            "fax_number": "203-459-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEFAIR HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2142-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021428",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maefair Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maefair Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.