Organization Active NPI

Mill River Foundation, Inc.

Doing business as The William and Sally Tandet Center for Continuing Care

  • Skilled Nursing Facility
  • Stamford, CT
National Provider Identifier
1649487026
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2327 Issued in CT
Legal business name
MILL RIVER FOUNDATION, INC.
Doing business as
The William and Sally Tandet Center for Continuing Care
Practice address
146 W Broad St
Stamford, CT 06902-3633
Phone
(203) 964-8500
Fax
(203) 356-9925
NPI assigned
May 16, 2007
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Julie Mittleider
Title
President
Phone
(770) 619-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2327 CT Primary

Addresses

Primary practice location

146 W Broad St
Stamford, CT 06902-3633

Mailing address

146 W Broad St
Stamford, CT 06902-3633
Phone (203) 964-8500

Other identifiers 1

IdentifierTypeStateIssuer
000020313MedicaidCT

Other names 1

  • The William and Sally Tandet Center for Continuing Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1649487026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023633",
            "telephone_number": "203-964-8500",
            "fax_number": "203-356-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023633",
            "telephone_number": "203-964-8500",
            "fax_number": "203-356-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL RIVER FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020313",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The William and Sally Tandet Center for Continuing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.