Genesis Health Ventures of Naugatuck, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1097-C Issued in CT

Legal business name

GENESIS HEALTH VENTURES OF NAUGATUCK, INC.

Doing business as

Glendale Center

Practice address

4 Hazel Ave
Naugatuck, CT 06770-4706

Phone

(203) 723-1456

Fax

(203) 723-0242

NPI assigned

May 27, 2006

Last updated

Jun 21, 2018By 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

Jane Dropeskey

Title

Corporate Manager

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Glendale Center Doing business as

Tax ID family

Genesis Health Ventures of Naugatuck Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McKerley Health Care Centers, Inc.

  dba Laconia Center

  • Skilled Nursing Facility
  • Laconia, NH
  • NPI 1629010368
  NPD tax ID

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1396792289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAZEL AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704706",
            "telephone_number": "203-723-1456",
            "fax_number": "203-723-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH VENTURES OF NAUGATUCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1097-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTH CARE",
            "identifier": "23-1410632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "770632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "A696813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-MANAGED MEDICAID",
            "identifier": "000010975-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "561310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-CT",
            "identifier": "8990143",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010975",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - COMMERCIAL",
            "identifier": "763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Freed, MS
• Lauren Fruehan
• Avery Gabrenas
• Christine Jessica Gaits-Falcone, LCSW
• Genesis Eldercare Rehab SVCS
• Geoffrey M. Drawbridge, D.D.S., P.C.
• Elizabeth Jane Gernux
• Adriana S Ghisa, MD
• Dantalee Nicola Gibbons
• Xavier Gibson, PT

• Skilled Nursing Facility in Naugatuck, CT
• Providers in Naugatuck, 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 Jun 21, 2018; 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.