Ti - Waterbury LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2272 Issued in CT

Legal business name

TI - WATERBURY LLC

Doing business as

Bucks Hill Nursing and Rehabilitation Center

Practice address

2817 N Main St
Waterbury, CT 06704-1604

Phone

(203) 757-0731

Fax

(203) 596-0892

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Joseph C Tutera

Title

Operator

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BUCKS HILL NURSING AND REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1578536959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041604",
            "telephone_number": "203-757-0731",
            "fax_number": "203-596-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041604",
            "telephone_number": "203-757-0731",
            "fax_number": "203-596-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TI - WATERBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007724",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKS HILL NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dwayne Thompson
• Julianna J Thompson, CNM
• Lauren Thorne
• Steven C. Thornquist, M.D.
• Catherine Thurston
• Anna M. Timell, M.D.
• Michael R Tinkler, M.D.
• Elizabeth Tiru
• Sandeep Tiyyagura, MD
• David Tkeshelashvili, M.D.

• Skilled Nursing Facility in Waterbury, CT
• Providers in Waterbury, 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 Feb 18, 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.