Wolcott View Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

972-C Issued in CT

Legal business name

WOLCOTT VIEW MANOR, INC.

Practice address

50 Beach Rd
Wolcott, CT 06716-1902

Phone

(203) 879-8066

Fax

(203) 879-8072

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James E. Cleary, Jr.

Title

Owner/Administrator

Phone

(203) 879-8066

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1417942491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEACH RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161902",
            "telephone_number": "203-879-8066",
            "fax_number": "203-879-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEACH RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161902",
            "telephone_number": "203-879-8066",
            "fax_number": "203-879-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLCOTT VIEW MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "CLEARY, JR.",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "203-879-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "972-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009720",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Wallace, LPC
• Eric Washington, BS,MS
• Wla Associates
• Wolcott Board of Education
• Wolcott Pharmacy
• Wolcott Volunteer Ambulance Association, Inc
• Kristin A. Woods
• Carleen Zambetti, LPC, LADC
• Jessica Zareck
• Skye Zeller, DMD

• Skilled Nursing Facility in Wolcott, CT
• Providers in Wolcott, 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 Nov 12, 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.