NPIMap

Organization Active NPI

McLean Fund

  • Nursing Facility/Intermediate Care Facility
  • Simsbury, CT
National Provider Identifier
1649492273
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
884-C Issued in CT
Legal business name
MCLEAN FUND
Practice address
75 Great Pond Rd
Simsbury, CT 06070-1980
Phone
(860) 653-3700
Fax
(860) 651-1247
NPI assigned
May 3, 2007
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Augusto Gautier
Title
VP Finance
Phone
(860) 658-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 884-C CT Primary

Addresses

Primary practice location

75 Great Pond Rd
Simsbury, CT 06070-1980

Mailing address

75 Great Pond Rd
Simsbury, CT 06070-1980
Phone (860) 653-3700

Other names 1

  • McLean Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
McLean Dental Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1649492273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-653-3700",
            "fax_number": "860-651-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-653-3700",
            "fax_number": "860-651-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "860-658-3759",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "884-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLean Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.