Norwichtown Convalescent Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

859-C Issued in CT

Legal business name

NORWICHTOWN CONVALESCENT HOME, INC.

Practice address

93 W Town St
Norwich, CT 06360-2262

Phone

(860) 889-2614

Fax

(860) 823-1329

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard McGirr, LNHA

Title

Cfo

Phone

(860) 889-2614

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Norwichtown Rehabilitation and Care Center Doing business as

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1275528812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 W TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602262",
            "telephone_number": "860-889-2614",
            "fax_number": "860-823-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W TOWN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602262",
            "telephone_number": "860-889-2614",
            "fax_number": "860-823-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICHTOWN CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MCGIRR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-889-2614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "859-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859-C",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008599",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwichtown Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Norwich, CT
• Providers in Norwich, 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 Oct 7, 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.