Active NPI
Maefair Health Care Center, Inc.
- Skilled Nursing Facility
- Trumbull, CT
National Provider Identifier
1407299183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2142C
- Legal business name
- MAEFAIR HEALTH CARE CENTER, INC.
- Doing business as
- Maefair Health Care Center
- Practice address
- 21 Maefair CT
Trumbull, CT 06611-4871 - Phone
- (203) 459-5152
- Fax
- (203) 459-5156
- NPI assigned
- Apr 11, 2013
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTH CARE ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Mosier
- Title
- Cfo
- Phone
- (860) 751-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2142C | CT | Primary |
Addresses
Primary practice location
21 Maefair CT
Trumbull, CT 06611-4871
Mailing address
21 Maefair CT
Trumbull, CT 06611-4871
Phone (203) 459-5152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021428 | Medicaid | CT |
Other names 1
- Maefair Health Care Center
National Provider Directory
National Provider Directory- Part of
- Athena Health Care Associates Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Farmington, CT
- NPI 1053690149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1407299183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAEFAIR CT",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114871",
"telephone_number": "203-459-5152",
"fax_number": "203-459-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAEFAIR CT",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114871",
"telephone_number": "203-459-5152",
"fax_number": "203-459-5156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAEFAIR HEALTH CARE CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "MOSIER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "860-751-3900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2142C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000021428",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maefair Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.