Spectrum Healthcare Winsted, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2287 Issued in CT

Legal business name

SPECTRUM HEALTHCARE WINSTED, LLC

Doing business as

Laurel Hill Healthcare

Practice address

108 E Lake St
Winsted, CT 06098-1912

Phone

(860) 871-5454

Fax

(860) 871-5757

NPI assigned

Nov 7, 2005

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard William Dickstein, PHD

Title

Chief Executive Officer

Phone

(860) 871-5454

Specialties & licenses 1

Addresses

Other names 1

• Laurel Hill Healthcare Doing business as

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1114908324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E LAKE ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981912",
            "telephone_number": "860-871-5454",
            "fax_number": "860-871-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E LAKE ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981912",
            "telephone_number": "860-871-5454",
            "fax_number": "860-871-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTHCARE WINSTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "DICKSTEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-871-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Hill Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Winsted, CT
• Providers in Winsted, 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 Aug 12, 2008; 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.