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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2328
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.