Organization Active NPI

Filosa Convalescent Home,Inc.

  • Skilled Nursing Facility
  • Danbury, CT
National Provider Identifier
1386613388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
461-C Issued in CT
Legal business name
FILOSA CONVALESCENT HOME,INC.
Doing business as
Filosa for nursing and rehabilitation
Practice address
13 Hakim St
Danbury, CT 06810-5316
Phone
(203) 744-3366
Fax
(203) 790-6915
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael D Malone, J.D.
Title
Vice President
Phone
(203) 744-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 461-C CT Primary

Addresses

Primary practice location

13 Hakim St
Danbury, CT 06810-5316

Mailing address

13 Hakim St
Danbury, CT 06810-5316
Phone (203) 744-3366

Other identifiers 1

IdentifierTypeStateIssuer
00004614MedicaidCT

Other names 1

  • Filosa for nursing and rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386613388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HAKIM ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105316",
            "telephone_number": "203-744-3366",
            "fax_number": "203-790-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HAKIM ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105316",
            "telephone_number": "203-744-3366",
            "fax_number": "203-790-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILOSA CONVALESCENT HOME,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-744-3366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "461-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00004614",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Filosa for nursing and rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.