107 Osborne Street Operating Company II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2276 Issued in CT

Legal business name

107 OSBORNE STREET OPERATING COMPANY II LLC

Doing business as

Danbury Health Care Center

Practice address

107 Osborne St
Danbury, CT 06810-6016

Phone

(203) 792-8102

Fax

(203) 731-5306

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Breslin

Title

Executive VP

Phone

(201) 242-4004

Specialties & licenses 1

Addresses

Other names 1

• Danbury Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215935127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OSBORNE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106016",
            "telephone_number": "203-792-8102",
            "fax_number": "203-731-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OSBORNE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106016",
            "telephone_number": "203-792-8102",
            "fax_number": "203-731-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "107 OSBORNE STREET OPERATING COMPANY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "201-242-4004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danbury Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.