Active NPI
Rosegarden Health and Rehabilitation Center LLC
- Skilled Nursing Facility
- Waterbury, CT
National Provider Identifier
1871613562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3300
- Legal business name
- ROSEGARDEN HEALTH AND REHABILITATION CENTER LLC
- Practice address
- 3584 E Main St
Waterbury, CT 06705-3850 - Phone
- (203) 754-4181
- Fax
- (203) 596-1835
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sobha Lamontagne
- Title
- Administrator
- Phone
- (203) 754-4181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3300 | CT | Primary |
Addresses
Primary practice location
3584 E Main St
Waterbury, CT 06705-3850
Mailing address
600 Bond St
Bridgeport, CT 06610-2205
Phone (203) 384-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021270 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510099200000",
"number": "1871613562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BOND ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102205",
"telephone_number": "203-384-6400",
"fax_number": "203-384-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067053850",
"telephone_number": "203-754-4181",
"fax_number": "203-596-1835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEGARDEN HEALTH AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2017-11-08",
"status": "A",
"authorized_official_last_name": "LAMONTAGNE",
"authorized_official_first_name": "SOBHA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-754-4181",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "3300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000021270",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.