Organization Active NPI

Holy Spirit Residential Care Home

  • Adult Care Home Facility
  • Putnam, CT
National Provider Identifier
1669406047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HOLY SPIRIT RESIDENTIAL CARE HOME
Practice address
72 Church St
Putnam, CT 06260-1810
Phone
(860) 928-0891
Fax
(860) 928-1312
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Annemarie Shiroka
Title
Administrator
Phone
(860) 928-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CT Primary

Addresses

Primary practice location

72 Church St
Putnam, CT 06260-1810

Mailing address

72 Church St
Putnam, CT 06260-1810
Phone (860) 928-0891

National Provider Directory

National Provider Directory

Locations

72 Church St
Putnam, CT 06260
Phone (860) 928-0891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669406047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601810",
            "telephone_number": "860-928-0891",
            "fax_number": "860-928-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601810",
            "telephone_number": "860-928-0891",
            "fax_number": "860-928-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY SPIRIT RESIDENTIAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIROKA",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-928-0891",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.