WV-Crossings West LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2393 Issued in CT

Legal business name

WV-CROSSINGS WEST LLC

Doing business as

Wachusett Ventures LLC

Practice address

89 Viets St
New London, CT 06320-3355

Phone

(860) 447-1471

NPI assigned

Jun 28, 2016

Organization subpart

Yes

Parent organization

WACHUSETT VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Raymond A. Dennehy III

Title

Principal

Phone

(978) 464-7729

Specialties & licenses 1

Addresses

Other names 1

• Wachusett Ventures LLC Doing business as

Part of

Wachusett Ventures LLC

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1255782413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 VIETS ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203355",
            "telephone_number": "860-447-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 VIETS ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203355",
            "telephone_number": "860-447-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV-CROSSINGS WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT VENTURES, LLC",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "978-464-7729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wachusett Ventures LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Woods
• Peter Woods, FNP-C
• Lisa Wrubel, APRN
• Susan Wu
• WV-Crossings East LLC (Crossings East Health and Rehabilitation Center)
• Tunisia Iris Wynn-Melendez, APRN
• Fung Adam Yeung, D.O
• Melvin A Yoselevsky, MD
• Makenzie Elise Yost
• Robin Zadroga, ATC

• Skilled Nursing Facility in New London, CT
• Providers in New London, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.