Colonial Care of Windham LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00002274 Issued in CT

Legal business name

COLONIAL CARE OF WINDHAM LLC

Practice address

595 Valley St
Willimantic, CT 06226-1901

Phone

(760) 423-2597

NPI assigned

Jan 3, 2009

Organization subpart

Yes

Parent organization

COLONIAL CARE LLCAs reported in NPPES

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

Authorized official

Name

Curtis Rodowicz

Title

Member

Phone

(860) 556-9177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1760628390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 VALLEY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 VALLEY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261901",
            "telephone_number": "760-423-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CARE OF WINDHAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLONIAL CARE LLC",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "RODOWICZ",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-556-9177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "00002274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Willimantic, CT
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.