Active NPI
Hamden CT SNF LLC
Doing business as Hamden Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Hamden, CT
National Provider Identifier
1679031074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HAMDEN CT SNF LLC
- Doing business as
- Hamden Rehabilitation and Health Care Center
- Practice address
- 1270 Sherman Lane
Hamden, CT 06514 - Phone
- (203) 281-7555
- Fax
- (203) 281-3827
- NPI assigned
- Mar 5, 2019
- Last updated
- Mar 5, 2019
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTH CARE ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence G. Santilli
- Title
- Manager
- Phone
- (860) 751-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1270 Sherman Lane
Hamden, CT 06514
Mailing address
135 South Rd
Farmington, CT 06032-2556
Phone (860) 751-3915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000009902 | Medicaid | CT |
Other names 1
- Hamden Rehabilitation and Health Care Center
National Provider Directory
National Provider Directory- Part of
- Athena Health Care Associates Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Farmington, CT
- NPI 1053690149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1679031074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SOUTH RD",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322556",
"telephone_number": "860-751-3915",
"fax_number": "860-751-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 SHERMAN LANE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06514",
"telephone_number": "203-281-7555",
"fax_number": "203-281-3827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMDEN CT SNF LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "SANTILLI",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "860-751-3900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000009902",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hamden Rehabilitation and Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.