NPIMap

Organization Active NPI

Sheriden Woods Health Care Center, Inc.

  • Skilled Nursing Facility
  • Bristol, CT
National Provider Identifier
1194168591
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2004C Issued in CT
Legal business name
SHERIDEN WOODS HEALTH CARE CENTER, INC.
Practice address
321 Stonecrest Dr
Bristol, CT 06010-5378
Phone
(860) 583-1827
Fax
(860) 589-1976
NPI assigned
Apr 16, 2013
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Michael Mosier
Title
Cfo
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2004C CT Primary

Addresses

Primary practice location

321 Stonecrest Dr
Bristol, CT 06010-5378

Mailing address

321 Stonecrest Dr
Bristol, CT 06010-5378
Phone (860) 583-1827

Other identifiers 1

IdentifierTypeStateIssuer
000020040MedicaidCT

Other names 1

  • Sheriden Woods Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sheriden Woods Health Care Center2 organizations share this tax ID, including this one
Part of
Athena Health Care Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1194168591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 STONECREST DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105378",
            "telephone_number": "860-583-1827",
            "fax_number": "860-589-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STONECREST DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105378",
            "telephone_number": "860-583-1827",
            "fax_number": "860-589-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDEN WOODS HEALTH CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2004C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020040",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheriden Woods Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

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