Active NPI
Naugatuck Health Care, LLC
Doing business as Beacon Brook Health Center
- Skilled Nursing Facility
- Naugatuck, CT
National Provider Identifier
1609837392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2182-C
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21238 | Medicaid | CT |
Other names 1
- Beacon Brook Health Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0878176 | Beacon Brook Center for Health & Rehab | Certificate of waiver | Oct 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.
-
- Skilled Nursing Facility
- Farmington, CT
- NPI 1053690149
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.