Montowese Health & Rehabililtation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1015-C Issued in CT

Legal business name

MONTOWESE HEALTH & REHABILILTATION CENTER

Practice address

163 Quinnipiac Ave
North Haven, CT 06473-3623

Phone

(203) 624-3303

Fax

(203) 789-4433

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Farooq H Khan

Title

Administrator

Phone

(203) 624-3303

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467401075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733623",
            "telephone_number": "203-624-3303",
            "fax_number": "203-789-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733623",
            "telephone_number": "203-624-3303",
            "fax_number": "203-789-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOWESE HEALTH & REHABILILTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-624-3303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1015-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210157",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Mitchell, APRN
• Lisa Mohr, LCSW
• Monique Proto, LLC
• Montowese Acquisition Operator, LLC
• Montowese Chiropractic Center LLC
• Montowese Physicians Group
• Aeden P. Morley, DPT
• Stephen F Morley, APRN
• Katherine Morrison, APRN
• Mr. Therapy Guy LLC

• Skilled Nursing Facility in North Haven, CT
• Providers in North Haven, 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 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.