Prospect Echn Eldercare Services, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROSPECT ECHN ELDERCARE SERVICES, INC.

Practice address

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Phone

(860) 896-3283

NPI assigned

May 16, 2016

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Jon Elders

Title

Secretary

Phone

(714) 788-1249

Specialties & licenses 1

Addresses

Other names 1

• Woodlake at Tolland Other name

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1518314020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332",
            "telephone_number": "860-896-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332",
            "telephone_number": "860-896-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT ECHN ELDERCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake at Tolland",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Woodlake at Tolland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Perreault
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• Sarah Provencher
• Michelle Puzzo, PT
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• Aaron Radden, LMFT

• Assisted Living Facility in Tolland, CT
• Providers in Tolland, CT by specialty
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.