Athena Middlesex, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2263C Issued in CT

Legal business name

ATHENA MIDDLESEX, LLC

Doing business as

Middlesex Health Care Center

Practice address

100 Randolph Rd
Middletown, CT 06457-5637

Phone

(860) 344-0353

Fax

(860) 346-1932

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

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

• Middlesex Health Care Center 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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1043653728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575637",
            "telephone_number": "860-344-0353",
            "fax_number": "860-346-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575637",
            "telephone_number": "860-344-0353",
            "fax_number": "860-346-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA MIDDLESEX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "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": "2263C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009472",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Art of the Heart Counseling Services LLC
• Jennifer Marie Askenas
• Stacy Asklar
• At Ease Living LLC
• Athena Middlesex LLC (Middlesex Health Care Center)
• Jacqueline Mary Atkinson, PA-C
• Katherine Carol Attong-Jackson, DPM
• Nicole Christina Aucoin, O.D.
• David Augenblick, MD
• Courtney W. Augustine-Palmer, LMSW

• Skilled Nursing Facility in Middletown, CT
• Providers in Middletown, 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 11, 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.