Grove Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

494C Issued in CT

Legal business name

GROVE MANOR NURSING HOME, INC.

Practice address

145 Grove St
Waterbury, CT 06710-2202

Phone

(203) 753-7205

Fax

(203) 753-6177

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Janet Aliciene

Title

Administrator

Phone

(203) 753-7205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669474961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102202",
            "telephone_number": "203-753-7205",
            "fax_number": "203-753-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102202",
            "telephone_number": "203-753-7205",
            "fax_number": "203-753-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALICIENE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-753-7205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "494C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R. Griffin-Sergel, LCSW
• Molly Griffin
• Michele M Griffith
• Claudia L Grogean, M.D.
• Blanche J Gronowski, LCSW
• Growing Steps Behavioral Services LLC
• Doug Gruber, LADC
• Nechemya Gruenstein, LPC
• Jazmin Marie Grullon, LPC
• Jessica Guallpa

• Skilled Nursing Facility in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Skilled Nursing Facility in Connecticut

• 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.