Luther Ridge at Middletown, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0113 Issued in CT

Legal business name

LUTHER RIDGE AT MIDDLETOWN, INC

Practice address

628 Congdon St W
Middletown, CT 06457-7939

Phone

(860) 347-7144

Fax

(860) 347-3942

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Susan Sokol

Title

Executive Director

Phone

(860) 347-7144

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851414585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CONGDON ST W",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CONGDON ST W",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577939",
            "telephone_number": "860-347-7144",
            "fax_number": "860-347-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHER RIDGE AT MIDDLETOWN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-347-7144"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "0113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lundquist, MD
• Ashley Lunt, LPC
• Ann M Luongo, LPC
• Roger D Luskind, M.D.
• Patricia Boynton Lussier, LCSW
• Gregory Lutkus, APRN
• Stephanie Mei Luu, DO
• Luxottica of America Inc. (Lenscrafters #1017)
• Jonathan A. Luysterborghs, L.C.S.W.
• Nicolas Luzino, DO

• Assisted Living Facility in Middletown, CT
• Providers in Middletown, CT by specialty
• Assisted Living Facility in Connecticut

• 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.
• 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.