Organization Active NPI

Colonial Care of Norwich LLC

  • Skilled Nursing Facility
  • Norwich, CT
National Provider Identifier
1033355664
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00002275 Issued in CT
Legal business name
COLONIAL CARE OF NORWICH LLC
Practice address
60 Crouch Ave
Norwich, CT 06360-7329
Phone
(860) 889-2631
NPI assigned
Jan 3, 2009
Last updated
Jan 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COLONIAL CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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

Authorized official

Name
Curtis Rodowicz
Title
Member
Phone
(860) 556-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 00002275 CT Primary

Addresses

Primary practice location

60 Crouch Ave
Norwich, CT 06360-7329

Mailing address

60 Crouch Ave
Norwich, CT 06360-7329
Phone (860) 889-2631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1033355664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CARE OF NORWICH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLONIAL CARE LLC",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "RODOWICZ",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-556-9177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "00002275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.