Organization Active NPI

Naugatuck Health Care, LLC

Doing business as Beacon Brook Health Center

  • Skilled Nursing Facility
  • Naugatuck, CT
National Provider Identifier
1609837392
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2182-C Issued in CT
Legal business name
NAUGATUCK HEALTH CARE, LLC
Doing business as
Beacon Brook Health Center
Practice address
89 Weid Dr
Naugatuck, CT 06770
Phone
(203) 729-9889
Fax
(203) 720-4082
NPI assigned
Mar 31, 2006
Organization subpart
Yes
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lawrence G Santilli
Title
Manager
Phone
(860) 751-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Skilled Nursing Facility 314000000X 2182-C CT Primary

Addresses

Primary practice location

89 Weid Dr
Naugatuck, CT 06770

Mailing address

89 Weid Dr
Naugatuck, CT 06770
Phone (203) 729-9889

Other identifiers 1

IdentifierTypeStateIssuer
21238MedicaidCT

Other names 1

  • Beacon Brook Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0878176Beacon Brook Center for Health & Rehab89 Weid Drive, Naugatuck, CT 06770Certificate of waiverOct 17, 2027

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1609837392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WEID DR",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "06770",
            "telephone_number": "203-729-9889",
            "fax_number": "203-720-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WEID DR",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "06770",
            "telephone_number": "203-729-9889",
            "fax_number": "203-720-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUGATUCK HEALTH CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES, INC.",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2182-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21238",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Brook Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Brook Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.