NPIMap

Organization Active NPI

Shelton Lakes Health Care Center

  • Custodial Care Facility
  • Shelton, CT
National Provider Identifier
1780714154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
SHELTON LAKES HEALTH CARE CENTER
Practice address
5 Lake Rd
Shelton, CT 06484-2967
Phone
(203) 924-2635
Fax
(203) 924-0034
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Hambley
Title
Cfo
Phone
(860) 678-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X CT Primary

Addresses

Primary practice location

5 Lake Rd
Shelton, CT 06484-2967

Mailing address

5 Lake Rd
Shelton, CT 06484-2967
Phone (203) 924-2635

National Provider Directory

National Provider Directory
Tax ID family
Apple Rehab Shelton Lakes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780714154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAKE RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842967",
            "telephone_number": "203-924-2635",
            "fax_number": "203-924-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAKE RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842967",
            "telephone_number": "203-924-2635",
            "fax_number": "203-924-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON LAKES HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMBLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-678-9755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.