Mansfield Retirement Community

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

1322 Issued in CT

Legal business name

MANSFIELD RETIREMENT COMMUNITY

Doing business as

Juniper Hill Village

Practice address

1 Silo Circle
Storrs, CT 06268-2018

Phone

(860) 429-9933

Fax

(860) 429-6104

NPI assigned

Jun 6, 2007

Last updated

Aug 22, 2020By 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

Mrs. Marcia Elizabeth Zimmer

Title

Administrator

Phone

(860) 429-9933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Juniper Hill Village Doing business as

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457554859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SILO CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682018",
            "telephone_number": "860-429-9933",
            "fax_number": "860-429-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SILO CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682018",
            "telephone_number": "860-429-9933",
            "fax_number": "860-429-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-429-9933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "CT",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNIPER HILL VILLAGE",
            "identifier": "4187391",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Hill Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary James Maass, DO
• Christopher Maio, PA
• Ralph Christopher Mansell, M.ED., ATC
• Mansfield Acquisition Operator LLC (Mansfield Center for Health and Rehabilitation)
• Mansfield Family Practice LLC
• Patricia Marble, L.M.T.
• Laura Mauroy, LCSW
• Stephanie Mazerolle, PHD, ATC
• Nia J McBride
• Jean Marie McCarthy, MS/CCC-SLP

• Home Delivered Meals in Storrs, CT
• Providers in Storrs, CT by specialty
• Home Delivered Meals in Connecticut

• 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.