Organization Active NPI

Paradigm Healthcare Center of West Haven, LLC

  • Skilled Nursing Facility
  • West Haven, CT
National Provider Identifier
1073748364
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARADIGM HEALTHCARE CENTER OF WEST HAVEN, LLC
Practice address
310 Terrace Ave
West Haven, CT 06516-2638
Phone
(203) 932-2247
Fax
(203) 937-5583
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Mr. Scott L Ziskin
Title
Member/Vice President
Phone
(860) 729-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

310 Terrace Ave
West Haven, CT 06516-2638

Mailing address

310 Terrace Ave
West Haven, CT 06516-2638
Phone (203) 932-2247

Other identifiers 2

IdentifierTypeStateIssuer
075201OtherCTMEDICARE BY ASSIGNMENT
PENDINGMedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1073748364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162638",
            "telephone_number": "203-932-2247",
            "fax_number": "203-937-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162638",
            "telephone_number": "203-932-2247",
            "fax_number": "203-937-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HEALTHCARE CENTER OF WEST HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ZISKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/VICE PRESIDENT",
        "authorized_official_telephone_number": "860-729-6268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BY ASSIGNMENT",
            "identifier": "075201",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.