Marathon Healthcare of West Haven

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2302 Issued in CT

Legal business name

MARATHON HEALTHCARE OF WEST HAVEN

Practice address

310 Terrace Ave
West Haven, CT 06516-2638

Phone

(203) 932-2247

Fax

(203) 931-2869

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Czerniewski

Title

Chief Financial Officer

Phone

(860) 290-7514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902843279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "RIVERVIEW SQUARE 8TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-528-0007",
            "fax_number": "860-528-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162638",
            "telephone_number": "203-932-2247",
            "fax_number": "203-931-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE OF WEST HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZERNIEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-290-7514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royce Holden Manifold, LPC
• Berit Mann, RN
• Maggie Manning
• Stefan Mansourian, MD
• William Marano, RPH
• Ashley Marcaurele
• Susan Marchitto, PNP-BC
• Elizabeth Marcucio, APRN
• Michael R Margolies
• Elizabeth Ann Marhoffer, MD

• Skilled Nursing Facility in West Haven, CT
• Providers in West Haven, 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.