Cedar Lane Rehabilitation & Health Care Ctr LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2225-C Issued in CT

Legal business name

CEDAR LANE REHABILITATION & HEALTH CARE CTR LLC

Practice address

128 Cedar Avenue
Waterbury, CT 06705-2700

Phone

(203) 757-9271

Fax

(203) 757-2988

NPI assigned

Aug 15, 2005

Organization subpart

Yes

Parent organization

CONNECTICUT SUBACUTE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Carole M. Scillia

Title

LLC Manager

Phone

(203) 608-6100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Village Green of Waterbury Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1154313310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CEDAR AVENUE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052700",
            "telephone_number": "203-757-9271",
            "fax_number": "203-757-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR LANE REHABILITATION & HEALTH CARE CTR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT SUBACUTE LLC",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2225C",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2225-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000520157",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Green of Waterbury Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities Inc - Archdiocese of Hartford
• Catholic Charities Inc - Archdiocese of Hartford
• Catholic Charities, Inc. - Archdiocese of Hartford
• Kristi Lee Cavallo, LCSW
• Debbie L. Cayabyab, M.D.
• Cedar Lane Rehabilitation and Health Care Center LLC
• Linda Cedarbaum
• Estafani Cedeno
• David Cegelka, PT
• Elena Cela, PSY.D., LPC, NCC

• Skilled Nursing Facility in Waterbury, CT
• Providers in Waterbury, 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 May 20, 2011; 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.