Spectrum Healthcare Winsted, LLC
Organization Active NPI Skilled Nursing Facility · Winsted, CT
NPI 1114908324 · NPPES record last updated Aug 12, 2008
Key facts
- NPI
- 1114908324
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2287 (CT)
- Legal business name
- SPECTRUM HEALTHCARE WINSTED, LLC
- Practice address
- 108 E Lake St
Winsted, CT 06098-1912 - Phone
- (860) 871-5454
- Fax
- (860) 871-5757
- NPI assigned
- Nov 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard William Dickstein, PHD
- Title
- Chief Executive Officer
- Phone
- (860) 871-5454
National Provider Directory
Locations
108 E Lake St
Winsted, CT 06098
Phone (860) 379-8591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2287 | CT | Yes |
Addresses
Primary practice location
108 E Lake St
Winsted, CT 06098-1912
Mailing address
108 E Lake St
Winsted, CT 06098-1912
Phone (860) 871-5454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020107 | Medicaid | CT |
Other names
- Laurel Hill Healthcare
Other providers in Winsted, CT
- Scott E. Saunders
- Shared Services
- Andaleeb Shariff
- Cheyenne Grace Skinner
- Orlando V Smith
- Mark E Stefanov
- Jennifer Stuckman
- Swensen Riverside Medical Center, LLC
- Andrew Szczepanski
- Jessica Rose Teti
All providers in Winsted, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.