Organization Active NPI

Sharon SNF CT LLC

Doing business as Sharon Health Care Center

  • Skilled Nursing Facility
  • Sharon, CT
National Provider Identifier
1568805968
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2382 Issued in CT
Legal business name
SHARON SNF CT LLC
Doing business as
Sharon Health Care Center
Practice address
27 Hospital Hill Rd
Sharon, CT 06069-2095
Phone
(860) 364-1002
Fax
(860) 364-0237
NPI assigned
Apr 16, 2013
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 2382 CT Primary

Addresses

Primary practice location

27 Hospital Hill Rd
Sharon, CT 06069-2095

Mailing address

27 Hospital Hill Rd
Sharon, CT 06069-2095
Phone (860) 364-1002

Other identifiers 1

IdentifierTypeStateIssuer
000020941MedicaidCT

Other names 1

  • Sharon Health Care Center Doing business as

National Provider Directory

National Provider Directory
Part of
Athena Health Care Associates Inc

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": "1568805968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692095",
            "telephone_number": "860-364-1002",
            "fax_number": "860-364-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692095",
            "telephone_number": "860-364-1002",
            "fax_number": "860-364-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON SNF CT LLC",
        "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": "2382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon, 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.