Clinton Alf Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLINTON ALF OPERATIONS LLC

Practice address

91 E Main St
Clinton, CT 06413-2139

Phone

(860) 669-9300

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Herzka

Title

Owner

Phone

(347) 993-9444

Specialties & licenses 1

Addresses

Other names 1

• Ocean Meadow Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1659982452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE APT 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013747",
            "telephone_number": "732-400-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132139",
            "telephone_number": "860-669-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "HERZKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-993-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Meadow Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Rilyn Carey, DCM
• Kenneth Spencer Carlough, DMD
• Carolyn B Carroll, MD
• Child & Adult Orthodontics PC
• Brittany Lee Ciarcia, LCSW
• Clinton Family Dentistry, LLC
• Clinton Human Services
• Clinton Human Services LPC
• Clinton Markets LLC
• Clinton Public Schools

• All providers in Clinton, CT
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.

Verify at the official NPI Registry.