Organization Active NPI

Southington Care Center

  • Skilled Nursing Facility
  • Southington, CT
National Provider Identifier
1235545393
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000767 Issued in CT
Legal business name
SOUTHINGTON CARE CENTER
Practice address
45 Meriden Ave
Southington, CT 06489-3214
Phone
(860) 378-1234
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Mrs. Renee Annette Jobin, COTA/L
Title
Occupoational Therapy Assistant
Phone
(860) 378-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000767 CT Primary

Addresses

Primary practice location

45 Meriden Ave
Southington, CT 06489-3214

Mailing address

19 Thistle LN
Bristol, CT 06010-8056
Phone (860) 584-8637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1235545393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 THISTLE LN",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108056",
            "telephone_number": "860-584-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MERIDEN AVE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893214",
            "telephone_number": "860-378-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "JOBIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OCCUPOATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "860-378-1234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.