Active NPI
City of Stamford
- Skilled Nursing Facility
- Stamford, CT
National Provider Identifier
1174696017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 716C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000007161 | Medicaid | CT |
Other names 1
- The Smith House
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Public Health or Welfare Agency
- Stamford, CT
- NPI 1063600252
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.