Organization Active NPI

Rosegarden Health and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Waterbury, CT
National Provider Identifier
1871613562
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3300 Issued in CT
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

Updated by the provider on Nov 8, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000021270MedicaidCT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.