Organization Active NPI

Watermark Retirement Communities of Connecticut

Doing business as The Springs at Watermark East Hill

  • Skilled Nursing Facility
  • Southbury, CT
National Provider Identifier
1629249487
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2328 Issued in CT
Legal business name
WATERMARK RETIREMENT COMMUNITIES OF CONNECTICUT
Doing business as
The Springs at Watermark East Hill
Practice address
611 E Hill Rd
Southbury, CT 06488-1388
Phone
(203) 262-6868
Fax
(203) 264-6311
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Mr. David J Freshwater
Title
Officer of Sole Member
Phone
(520) 797-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2328 CT Primary

Addresses

Primary practice location

611 E Hill Rd
Southbury, CT 06488-1388

Mailing address

2020 W Rudasill Rd
Tucson, AZ 85704-7800
Phone (520) 797-4000

Other names 1

  • The Springs at Watermark East Hill Doing business as

National Provider Directory

National Provider Directory

Locations

2020 W Rudasill Rd
Tucson, AZ 85704

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1629249487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881388",
            "telephone_number": "203-262-6868",
            "fax_number": "203-264-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK RETIREMENT COMMUNITIES OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER OF SOLE MEMBER",
        "authorized_official_telephone_number": "520-797-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at Watermark East Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Springs at Watermark East Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.