Organization Active NPI

City of Stamford

  • Skilled Nursing Facility
  • Stamford, CT
National Provider Identifier
1174696017
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
716C Issued in CT
Legal business name
CITY OF STAMFORD
Practice address
88 Rock Rimmon Road
Stamford, CT 06903
Phone
(203) 322-3428
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mr. Robert Mark Mislow, MHA, LNHA
Title
Executive Director
Phone
(203) 322-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 716C CT Primary

Addresses

Primary practice location

88 Rock Rimmon Road
Stamford, CT 06903

Mailing address

88 Rock Rimmon Road
Stamford, CT 06903
Phone (203) 322-3428

Other identifiers 1

IdentifierTypeStateIssuer
000007161MedicaidCT

Other names 1

  • The Smith House Other name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1174696017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROCK RIMMON ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06903",
            "telephone_number": "203-322-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROCK RIMMON ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06903",
            "telephone_number": "203-322-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STAMFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "MISLOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-322-3428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "716C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007161",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smith House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.