NPIMap

Organization Active NPI

Hartford Hospital D/B/a Cedar Mountain Commons

Doing business as Cedar Mountain Commons

  • Assisted Living Facility
  • Newington, CT
National Provider Identifier
1760995344
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0096 Issued in CT
Legal business name
HARTFORD HOSPITAL D/B/A CEDAR MOUNTAIN COMMONS
Doing business as
Cedar Mountain Commons
Practice address
3 John H. Stewart Drive
Newington, CT 06111-3166
Phone
(860) 665-7901
Fax
(860) 665-7905
NPI assigned
Nov 6, 2017
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Mr. James Casey Jr.
Title
Executive Director
Phone
(860) 665-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0096 CT Primary

Addresses

Primary practice location

3 John H. Stewart Drive
Newington, CT 06111-3166

Mailing address

3 John H. Stewart Drive
Newington, CT 06111-3166
Phone (860) 665-7901

Other names 1

  • Cedar Mountain Commons Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2203701Cedar Mountain Commons3 John H Stewart Dr, Newington, CT 06111Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hartford Hospital Pharmacy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1760995344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOHN H. STEWART DRIVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113166",
            "telephone_number": "860-665-7901",
            "fax_number": "860-665-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOHN H. STEWART DRIVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113166",
            "telephone_number": "860-665-7901",
            "fax_number": "860-665-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOSPITAL D/B/A CEDAR MOUNTAIN COMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-665-7901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "0096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Mountain Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.