Organization Active NPI

Paradigm Healthcare Center of New Haven, LLC

  • Skilled Nursing Facility
  • New Haven, CT
National Provider Identifier
1376777698
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2351 Issued in CT
Legal business name
PARADIGM HEALTHCARE CENTER OF NEW HAVEN, LLC
Practice address
181 Clifton St
New Haven, CT 06513-3319
Phone
(203) 467-1666
Fax
(203) 468-3049
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Ms. Meggan S Evans
Title
Corporate Office Manager
Phone
(860) 726-7449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2351 CT Primary

Addresses

Primary practice location

181 Clifton St
New Haven, CT 06513-3319

Mailing address

181 Clifton St
New Haven, CT 06513-3319
Phone (203) 467-1666

Other identifiers 2

IdentifierTypeStateIssuer
07-5398OtherCTMEDICARE BY ASSIGNMENT
000008177MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1376777698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CLIFTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133319",
            "telephone_number": "203-467-1666",
            "fax_number": "203-468-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CLIFTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133319",
            "telephone_number": "203-467-1666",
            "fax_number": "203-468-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HEALTHCARE CENTER OF NEW HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MEGGAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CORPORATE OFFICE MANAGER",
        "authorized_official_telephone_number": "860-726-7449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BY ASSIGNMENT",
            "identifier": "07-5398",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008177",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.