Organization Active NPI

CSC Enterprises, Inc.

Doing business as Branford Hills Health Care Center

  • Skilled Nursing Facility
  • Branford, CT
National Provider Identifier
1366445629
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
997C Issued in CT
Legal business name
CSC ENTERPRISES, INC.
Doing business as
Branford Hills Health Care Center
Practice address
189 Alps Rd
Branford, CT 06405-4771
Phone
(203) 481-6221
Fax
(203) 483-1893
NPI assigned
May 31, 2005
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Stephen Jones Shelton, M.P.H.
Title
Administrator
Phone
(203) 481-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 997C CT Primary

Addresses

Primary practice location

189 Alps Rd
Branford, CT 06405-4771

Mailing address

189 Alps Rd
Branford, CT 06405-4771
Phone (203) 481-6221

Other names 1

  • Branford Hills Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

189 Alps Rd
#4771
Branford, CT 06405
Phone (203) 481-6221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1366445629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ALPS RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054771",
            "telephone_number": "203-481-6221",
            "fax_number": "203-483-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ALPS RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054771",
            "telephone_number": "203-481-6221",
            "fax_number": "203-483-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSC ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-481-6221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.H."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "997C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branford Hills Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.