Candlewood New Milford LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2207C Issued in CT

Legal business name

CANDLEWOOD NEW MILFORD LLC

Doing business as

Candlewood Valley Health and Rehabilitation Center

Practice address

30 Park Lane East
New Milford, CT 06776

Phone

(860) 355-0971

Fax

(860) 210-1383

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mario Sinicariello-Ioth

Title

Vice President

Phone

(440) 439-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Candlewood Valley Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881777597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK LANE EAST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-355-0971",
            "fax_number": "860-210-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK LANE EAST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-355-0971",
            "fax_number": "860-210-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD NEW MILFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINICARIELLO-IOTH",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-439-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2207C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candlewood Valley Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josef J Burton, M.D.
• John Paul Caceci, DDS
• Matthew Paul Caceci, DMD
• Paul John Caceci, DDS
• Christina Marie Cameron, LPC
• Candlewood SNF Operations LLC
• Candlewood Valley Care Ctr
• Candlewood Valley Pediatrics, P.C.
• Lori B Capri, MS, LPC
• Christopher Charles Carlone, D.D.S.

• Skilled Nursing Facility in New Milford, CT
• Providers in New Milford, CT by specialty
• Skilled Nursing 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.