Organization Active NPI

Marathon Healthcare Center of New Haven LLC

  • Skilled Nursing Facility
  • New Haven, CT
National Provider Identifier
1255379517
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2325 Issued in CT
Legal business name
MARATHON HEALTHCARE CENTER OF NEW HAVEN LLC
Doing business as
Marathon Healthcare Center of New Haven LLC
Practice address
181 Clifton St
New Haven, CT 06513-3319
Phone
(203) 467-1666
Fax
(203) 469-7213
NPI assigned
Jun 2, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Phyllis A. Belmonte
Title
Receiver
Phone
(860) 644-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2325 CT Primary

Addresses

Primary practice location

181 Clifton St
New Haven, CT 06513-3319

Mailing address

99 East River Dr.
1St Floor
East Hartford, CT 06108-3288
Phone (860) 289-8762

Other identifiers 2

IdentifierTypeStateIssuer
000008177MedicaidCT
00312152MedicaidNY

Other names 1

  • Marathon Healthcare Center of New Haven LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1255379517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST RIVER DR.",
            "address_2": "1ST FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-289-8762",
            "fax_number": "860-528-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CLIFTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133319",
            "telephone_number": "203-467-1666",
            "fax_number": "203-469-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE CENTER OF NEW HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "BELMONTE",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "860-644-6780"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008177",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Healthcare Center of New Haven LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.