Waterbury Gardens Nursing and Rehab LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

WATERBURY GARDENS NURSING AND REHAB LLC

Practice address

128 Cedar Ave
Waterbury, CT 06705-2700

Phone

(516) 505-0000

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

David Gamzeh

Title

Memeber

Phone

(516) 505-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1215309679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "address_2": "SUITE 508",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163",
            "telephone_number": "516-505-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CEDAR AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052700",
            "telephone_number": "516-505-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY GARDENS NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "516-505-0000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Nursing Facility/Intermediate Care Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.