Paradigm Healthcare Center of Prospect, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARADIGM HEALTHCARE CENTER OF PROSPECT, LLC

Practice address

25 Royal Crest Dr
Prospect, CT 06712-1486

Phone

(203) 758-4431

Fax

(203) 758-5601

NPI assigned

May 15, 2009

Last updated

May 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott L Ziskin

Title

Member/Vice President

Phone

(860) 729-6268

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1346475639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROYAL CREST DR",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121486",
            "telephone_number": "203-758-4431",
            "fax_number": "203-758-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROYAL CREST DR",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121486",
            "telephone_number": "203-758-4431",
            "fax_number": "203-758-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HEALTHCARE CENTER OF PROSPECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ZISKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/VICE PRESIDENT",
        "authorized_official_telephone_number": "860-729-6268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BY ASSIGNMENT",
            "identifier": "075207",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Prospect, CT
• Providers in Prospect, 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 May 15, 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.