Haven Health Center of Waterford, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVEN HEALTH CENTER OF WATERFORD, LLC

Practice address

171 Rope Ferry Rd
Waterford, CT 06385-2600

Phone

(860) 443-8357

Fax

(860) 447-8351

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1891759551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ROPE FERRY RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852600",
            "telephone_number": "860-443-8357",
            "fax_number": "860-447-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ROPE FERRY RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852600",
            "telephone_number": "860-443-8357",
            "fax_number": "860-447-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF WATERFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020446",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Guzzio, PA-C
• Gregory Adrian Hack, DDS
• Karim Hanna, MD
• Sherry Barbara Hansley, LPC
• Margaret Mary Harris, MA, LPC
• Heather Bodie Therapy LLC
• Helping You Heal PLLC
• Kate Hesney
• Joseph Leo Higgins, RPH
• Heather Hoagland, LCSW

• Skilled Nursing Facility in Waterford, CT
• Providers in Waterford, 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 Dec 28, 2007; 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.