Active NPI
Saint Mary Home -Adult Day Care
- Adult Day Care Clinic/Center
- West Hartford, CT
National Provider Identifier
1497961825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 000000
- Legal business name
- SAINT MARY HOME -ADULT DAY CARE
- Practice address
- 2021 Albany Ave
West Hartford, CT 06117-2755 - Phone
- (860) 570-8285
- NPI assigned
- May 15, 2007
- 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
- Ms. Pamela Sue Latovick
- Title
- VP of Reimbursement
- Phone
- (734) 343-6628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 000000 | CT | Primary |
Addresses
Primary practice location
2021 Albany Ave
West Hartford, CT 06117-2755
Mailing address
2021 Albany Ave
West Hartford, CT 06117-2755
Phone (860) 570-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004SMHS439 | Other | CT | CCCI |
National Provider Directory
National Provider Directory- Tax ID family
- Saint Mary Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- West Hartford, CT
- NPI 1851402382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660780800000",
"number": "1497961825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 ALBANY AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172755",
"telephone_number": "860-570-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 ALBANY AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172755",
"telephone_number": "860-570-8285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT MARY HOME -ADULT DAY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A",
"authorized_official_last_name": "LATOVICK",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "VP OF REIMBURSEMENT",
"authorized_official_telephone_number": "734-343-6628",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CT",
"license": "000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCCI",
"identifier": "004SMHS439",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.