Farmington Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2332 Issued in CT

Legal business name

FARMINGTON REHAB CENTER, LLC

Practice address

416 Colt Hwy
Farmington, CT 06032-2534

Phone

(860) 677-1671

Fax

(860) 677-2217

NPI assigned

Aug 6, 2008

Last updated

Oct 3, 2008By 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

Mr. Thomas Haggerty Doyle II

Title

Administrator

Phone

(860) 677-1671

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1528224847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322534",
            "telephone_number": "860-677-1671",
            "fax_number": "860-677-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322534",
            "telephone_number": "860-677-1671",
            "fax_number": "860-677-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HAGGERTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-677-1671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009241",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmington Family Dental Group, PLLC (Farmington Family Dentistry)
• Farmington Family Dentistry, LLC
• Farmington Imaging Center, LLC
• Farmington Pediatric & Adolescent Medicine, LLC
• Farmington Public Schools
• Farmington Surgery Center LLC
• Farmington Village Dental Associates, LLC
• Kimberly A Farrell, D.M.D
• Marycatherine Farwell, MD
• Philip Louis Fava II, D.M.D.

• Skilled Nursing Facility in Farmington, CT
• Providers in Farmington, 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 Oct 3, 2008; 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.