Continuing Care Retirement Community of Great

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CONTINUING CARE RETIREMENT COMMUNITY OF GREAT

Practice address

122 Palmers Hill Road
Stamford, CT 06902-2134

Phone

(203) 323-2323

Fax

(203) 322-6437

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen A. Silard

Title

Executive Vice President/Chief Oper

Phone

(203) 275-7505

Specialties & licenses 2

Addresses

Other names 1

• Edgehill Retirement Community Doing business as

Tax ID family

B-IX Edgehill SNF LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• B-IX Edgehill SNF LLC

  • Skilled Nursing Facility
  • Stamford, CT
  • NPI 1437457827
  NPD tax ID

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1477518074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PALMERS HILL ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022134",
            "telephone_number": "203-323-2323",
            "fax_number": "203-323-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PALMERS HILL ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022134",
            "telephone_number": "203-323-2323",
            "fax_number": "203-322-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUING CARE RETIREMENT COMMUNITY OF GREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "SILARD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CHIEF OPER",
        "authorized_official_telephone_number": "203-275-7505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2226-C",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgehill Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph V Connelly, MD
• Crystal Ann Consalvo, MOTR/L
• Gildo Consolini, LCSW
• Sophia Conte
• Contemporary TMS of Stamford
• Rosemary Contreras
• Keara Conway, PSY.D.
• Madeline Weisberg Conway, MSS LCSW
• Susan K Cook, M.A., L.C.S.W.,
• Julia Cooper

• Skilled Nursing Facility in Stamford, CT
• Providers in Stamford, 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 Mar 30, 2009; 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.