Organization Active NPI

Valerie Manor Inc

  • Skilled Nursing Facility
  • Torrington, CT
National Provider Identifier
1184729485
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1070-C Issued in CT
Legal business name
VALERIE MANOR INC
Practice address
1360 Torringford St
Torrington, CT 06790-3140
Phone
(860) 489-1008
Fax
(860) 482-4266
NPI assigned
Sep 13, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lawrence G. Santilli
Title
President/Ceo
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1070-C CT Primary

Addresses

Primary practice location

1360 Torringford St
Torrington, CT 06790-3140

Mailing address

1360 Torringford St
Torrington, CT 06790-3140
Phone (860) 489-1008

Other identifiers 3

IdentifierTypeStateIssuer
000010702MedicaidCT
875OtherCTANTHEM BLUE CROSS
000092072MedicaidCT

National Provider Directory

National Provider Directory
Part of
Athena Health Care Associates Inc

Locations

1360 Torringford St
Torrington, CT 06790
Phone (607) 303-9318

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1184729485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 TORRINGFORD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903140",
            "telephone_number": "860-489-1008",
            "fax_number": "860-482-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 TORRINGFORD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903140",
            "telephone_number": "860-489-1008",
            "fax_number": "860-482-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE MANOR INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1070-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010702",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "875",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000092072",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.