NPIMap

Organization Active NPI

Springfield Health and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Springfield, VT
National Provider Identifier
1730177239
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGFIELD HEALTH AND REHABILITATION CENTER LLC
Practice address
105 Chester Road
Springfield, VT 05156-2106
Phone
(802) 885-5741
Fax
(802) 885-5755
NPI assigned
Oct 10, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Carole M Scillia
Title
LLC Manager
Phone
(203) 608-6100

National Provider Directory

National Provider Directory
Tax ID family
Bennington Health and Rehabilitation Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0270000344 VT
Skilled Nursing Facility 314000000X VT Primary

Addresses

NPPES NPI Registry

Primary practice location

105 Chester Road
Springfield, VT 05156-2106

Mailing address

538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0475025MedicaidVT

Other names 1

NPPES NPI Registry
  • Springfield Health and Rehabilitation Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2011.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1730177239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTER ROAD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562106",
            "telephone_number": "802-885-5741",
            "fax_number": "802-885-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "0270000344",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475025",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.