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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004072559 | Other | CT | PERFORMING PROVIDER NUMBER |
Other names 1
- Goodwin-Levine Adult Day Health Center
National Provider Directory
National Provider DirectoryNPI 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.