Organization Active NPI

Valerie Manor, Inc.

Doing business as Valerie Manor

  • Skilled Nursing Facility
  • Torrington, CT
National Provider Identifier
1467895862
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1070C Issued in CT
Legal business name
VALERIE MANOR, INC.
Doing business as
Valerie Manor
Practice address
1360 Torringford St
Torrington, CT 06790-3140
Phone
(860) 489-1008
Fax
(860) 496-9252
NPI assigned
Apr 16, 2013
Last updated
Apr 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1070C CT Primary

Addresses

Primary practice location

1360 Torringford St
Torrington, CT 06790-3140

Mailing address

1360 Torringford St
Torrington, CT 06790-3140
Phone (860) 489-1008

Other identifiers 1

IdentifierTypeStateIssuer
000010702MedicaidCT

Other names 1

  • Valerie Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Torrington Specialty Care2 organizations share this tax ID, including this one
Part of
Athena Health Care Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1467895862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 TORRINGFORD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903140",
            "telephone_number": "860-489-1008",
            "fax_number": "860-496-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 TORRINGFORD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903140",
            "telephone_number": "860-489-1008",
            "fax_number": "860-496-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE MANOR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "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": "1070C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010702",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valerie Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.