Organization Active NPI

Jha Health Care, Inc.

Doing business as Goodwin-Levine Adult Day Health Center

  • Adult Day Care Clinic/Center
  • New Haven, CT
National Provider Identifier
1740561489
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JHA HEALTH CARE, INC.
Doing business as
Goodwin-Levine Adult Day Health Center
Practice address
169 Davenport Ave
New Haven, CT 06519-1319
Phone
(203) 789-1650
Fax
(203) 789-1706
NPI assigned
Sep 8, 2011
Last updated
Sep 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Ms. Judith Rolnick, LCSW
Title
Director
Phone
(203) 789-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

169 Davenport Ave
New Haven, CT 06519-1319

Mailing address

169 Davenport Ave
New Haven, CT 06519-1319
Phone (203) 789-1650

Other identifiers 1

IdentifierTypeStateIssuer
004072559OtherCTPERFORMING PROVIDER NUMBER

Other names 1

  • Goodwin-Levine Adult Day Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1740561489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 DAVENPORT AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191319",
            "telephone_number": "203-789-1650",
            "fax_number": "203-789-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DAVENPORT AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191319",
            "telephone_number": "203-789-1650",
            "fax_number": "203-789-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHA HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "ROLNICK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-789-1650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDER NUMBER",
            "identifier": "004072559",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwin-Levine Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.