Active NPI
Prime Care, LLC
- Assisted Living Facility
- Stamford, CT
National Provider Identifier
1457901019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PRIME CARE, LLC
- Practice address
- 59 Roxbury Rd
Stamford, CT 06902-1283 - Phone
- (203) 322-2100
- Fax
- (203) 322-4300
- NPI assigned
- Sep 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Heuman
- Title
- Director of Operations
- Phone
- (203) 322-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
59 Roxbury Rd
Stamford, CT 06902-1283
Mailing address
59 Roxbury Rd
Stamford, CT 06902-1283
Phone (203) 322-2100
Other names 1
- Brighton Gardnes of Stamford
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568592000000",
"number": "1457901019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ROXBURY RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021283",
"telephone_number": "203-322-2100",
"fax_number": "203-322-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 ROXBURY RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021283",
"telephone_number": "203-322-2100",
"fax_number": "203-322-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A",
"authorized_official_last_name": "HEUMAN",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "203-322-2100"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brighton Gardnes of Stamford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.