Organization Active NPI

Town of Greenwich

  • Public Health or Welfare Agency
  • Greenwich, CT
National Provider Identifier
1750444675
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF GREENWICH
Practice address
101 Field Point Rd
Greenwich, CT 06830-6463
Phone
(203) 622-7836
Fax
(203) 622-7770
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Caroline C Baisley
Title
Director of Health
Phone
(203) 622-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

101 Field Point Rd
Greenwich, CT 06830-6463

Mailing address

101 Field Point Rd
Greenwich, CT 06830-6463
Phone (203) 622-7836

Other names 1

  • Greenwich Department of Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000139 CT Part B Supplier - Mass Immunization (Roster Biller Only) 7416059555 Practice locations: Greenwich, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Greenwich Dept of Healt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

101 Field Point Rd
Greenwich, CT 06830
Phone (203) 622-6488

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Nathaniel WitherellGreenwich, CT, CCN 075117 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)
Jan 1, 1966
Nov 3, 2025
Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1750444675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FIELD POINT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306463",
            "telephone_number": "203-622-7836",
            "fax_number": "203-622-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FIELD POINT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306463",
            "telephone_number": "203-622-7836",
            "fax_number": "203-622-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GREENWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BAISLEY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "203-622-7836"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwich Department of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.