Active NPI
Emily Allison Slattery, LMSW
- Adult Day Care Clinic/Center
- Sandy Hook, CT
National Provider Identifier
1215112404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Practice address
- 107 Church Hill Rd Ste GL1
Sandy Hook, CT 06482-1194 - Phone
- (203) 648-5983
- Fax
- (203) 491-2900
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CT | ||
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
107 Church Hill Rd Ste GL1
Sandy Hook, CT 06482-1194
Mailing address
107 Church Hill Rd Ste GL1
Sandy Hook, CT 06482-1194
Phone (203) 648-5983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004040655 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glory Days, LLC Dba Old Glory Days | Adult Day Care | Current | Accepting new patients |
Locations
107 Church Hill Rd
Ste GL1
Sandy Hook, CT 06482
Phone (203) 648-5983
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Day Care Clinic/Center
- Sandy Hook, CT
- NPI 1922642107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1215112404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHURCH HILL RD STE GL1",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821194",
"telephone_number": "203-648-5983",
"fax_number": "203-491-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHURCH HILL RD STE GL1",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821194",
"telephone_number": "203-648-5983",
"fax_number": "203-491-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATTERY",
"first_name": "EMILY",
"middle_name": "ALLISON",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004040655",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.