301 Rope Ferry Road, LLC.
Organization Active NPI Skilled Nursing Facility · Waterford, CT
NPI 1700229481 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1700229481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2050C (CT)
- Legal business name
- 301 ROPE FERRY ROAD, LLC.
- Practice address
- 301 Rope Ferry Rd
Waterford, CT 06385-2610 - Phone
- (860) 444-1175
- Fax
- (860) 437-2173
- NPI assigned
- Apr 11, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ATHENA HEALTH CARE ASSOCIATES
Authorized official
- Name
- Michael Mosier
- Title
- Cfo
- Phone
- (860) 751-3900
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- 301 Rope Ferry Road LLC
- Part of
- Athena Health Care Associates Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2050C | CT | Yes |
Addresses
Primary practice location
301 Rope Ferry Rd
Waterford, CT 06385-2610
Mailing address
301 Rope Ferry Rd
Waterford, CT 06385-2610
Phone (860) 444-1175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020503 | Medicaid | CT |
Other names
- Bayview Health Care Center
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All providers in Waterford, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.