Organization Active NPI

Saybrook Healthcare Center, Inx

  • Skilled Nursing Facility
  • Old Saybrook, CT
National Provider Identifier
1104134071
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000205 Issued in CT
Legal business name
SAYBROOK HEALTHCARE CENTER, INX
Practice address
1775 Boston Post Rd
Old Saybrook, CT 06475-1643
Phone
(860) 399-6216
Fax
(860) 399-4053
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Mrs. Juanita Elease Garrido
Title
Physical Therapist Asst. Rehab Dir.
Phone
(860) 300-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000205 CT Primary

Addresses

Primary practice location

1775 Boston Post Rd
Old Saybrook, CT 06475-1643

Mailing address

1775 Boston Post Rd
Old Saybrook, CT 06475-1643
Phone (860) 399-6216

Other names 1

  • Apple Rehab Saybrook Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0097508Saybrook Healthcare1775 Boston Post Rd, Old Saybrook, CT 06475Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Apple Rehab Saybrook2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1104134071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751643",
            "telephone_number": "860-399-6216",
            "fax_number": "860-399-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751643",
            "telephone_number": "860-399-6216",
            "fax_number": "860-399-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYBROOK HEALTHCARE CENTER, INX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "ELEASE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASST. REHAB DIR.",
        "authorized_official_telephone_number": "860-300-6216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Rehab Saybrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.