Suffield Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2075C Issued in CT

Legal business name

SUFFIELD MANOR INC

Practice address

1 Canal Rd
Suffield, CT 06078-1921

Phone

(860) 668-6111

Fax

(860) 668-0061

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Carol Sanfilippo

Title

Director of Finance

Phone

(860) 668-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Suffield House Doing business as

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1790779627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CANAL ROAD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781921",
            "telephone_number": "860-668-6111",
            "fax_number": "860-668-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CANAL RD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781921",
            "telephone_number": "860-668-6111",
            "fax_number": "860-668-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFIELD MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "SANFILIPPO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "860-668-6111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2075C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020751",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Suffield House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.