Marathon Healthcare of Torrington

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2301 Issued in CT

Legal business name

MARATHON HEALTHCARE OF TORRINGTON

Practice address

99 E River Dr
Riverview Square 8Thfloor
East Hartford, CT 06108-3288

Phone

(860) 520-0007

Fax

(860) 528-5711

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Czerniewski

Title

Chief Financial Officer

Phone

(860) 290-7514

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1336196773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FERN DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903807",
            "telephone_number": "860-482-7668",
            "fax_number": "860-482-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "RIVERVIEW SQUARE 8THFLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-520-0007",
            "fax_number": "860-528-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE OF TORRINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "CZERNIEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-290-7514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900009621",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Cosker Malitsky, DPT
• Bela S Mandavilli, M.D.
• Srinivas Rao Mandavilli, M.D.
• Charles Mandelberg, MD
• Breah K Manning
• Susan Marie Marchinetti Jr.
• Christina Marchitto, LCSW
• Marcia Loving Care Home Care Agency
• Elzbieta Marcinczyk, DMD
• Stephen Santino Marcucci, M.S. OTR/L

• Skilled Nursing Facility in East Hartford, CT
• Providers in East Hartford, 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 Sep 23, 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.