Town of Griswold

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C8034 Issued in CT

Legal business name

TOWN OF GRISWOLD

Doing business as

Griswold Regional Visiting Nurse Agency

Practice address

68 Ashland Street
Jewett City, CT 06351-2310

Phone

(860) 376-7077

Fax

(860) 376-7081

NPI assigned

Nov 16, 2005

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF GRISWOLDAs reported in NPPES

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

Authorized official

Name

Donna Jean Laroux, RN

Title

Administrator

Phone

(860) 376-7077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Griswold Regional Visiting Nurse Agency Doing business as

Part of

Town of Griswold

Locations

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1669454674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ASHLAND STREET",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512310",
            "telephone_number": "860-376-7077",
            "fax_number": "860-376-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ASHLAND STREET",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512310",
            "telephone_number": "860-376-7077",
            "fax_number": "860-376-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GRISWOLD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF GRISWOLD",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "LAROUX",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-376-7077",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C8034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004043121",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Regional Visiting Nurse Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric O'Connor, APRN, DNP
• Zachary Shabenas
• Jeffrey Talbot
• Jazlyn Tang, LCSW
• The Center for Healing Indigo Wisdom Professional Counseling LLC
• Walgreen Co (Walgreens #19244)
• Joel Zuckerbraun, O.D.

• Home Health Agency in Jewett City, CT
• Providers in Jewett City, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.