Organization Active NPI

Keystone Place at Wooster Heights, LLC

  • Assisted Living Facility
  • Danbury, CT
National Provider Identifier
1053926295
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KEYSTONE PLACE AT WOOSTER HEIGHTS, LLC
Practice address
66 Wooster HTS
Danbury, CT 06810-6685
Phone
(203) 516-0218
Fax
(317) 863-1116
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Brenda Armstrong
Title
General Counsel
Phone
(317) 409-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

66 Wooster HTS
Danbury, CT 06810-6685

Mailing address

3965 Airport Dr
Indianapolis, IN 46254-5845
Phone (317) 409-9252

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL INDIANAPOLIS Direct

National Provider Directory

National Provider Directory

Locations

66 Wooster Hts
Danbury, CT 06810
Phone (203) 516-0218

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1053926295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 AIRPORT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545845",
            "telephone_number": "317-409-9252",
            "fax_number": "317-863-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WOOSTER HTS",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106685",
            "telephone_number": "203-516-0218",
            "fax_number": "317-863-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PLACE AT WOOSTER HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "317-409-9252"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INDIANAPOLIS",
            "affiliation": "N",
            "endpointDescription": "facility location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 Wooster Hts",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068106685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.