Active NPI
1 Glen Hill Road Operations LLC
- Skilled Nursing Facility
- Danbury, CT
National Provider Identifier
1760046403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 1 GLEN HILL ROAD OPERATIONS LLC
- Practice address
- 1 Glen Hill Rd
Danbury, CT 06811-4921 - Phone
- (203) 744-2840
- Fax
- (203) 744-2841
- NPI assigned
- Apr 29, 2019
- Organization subpart
- Yes
- Parent organization
- HARBORSIDE DANBURY LIMITED PARTNERSHIP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg, JD
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1 Glen Hill Rd
Danbury, CT 06811-4921
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | CT | LICENSE |
Other names 1
- GLEN HILL CENTER
National Provider Directory
National Provider Directory- Part of
- Harborside Danbury Limited Partnership
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556496000000",
"number": "1760046403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-444-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GLEN HILL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114921",
"telephone_number": "203-744-2840",
"fax_number": "203-744-2841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1 GLEN HILL ROAD OPERATIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HARBORSIDE DANBURY LIMITED PARTNERSHIP",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4742",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "00000",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GLEN HILL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.