Abbott Terrace Health Center

Key facts

NPI

1912969601

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

License

1089-C (CT)

Legal business name

ABBOTT TERRACE HEALTH CENTER

Practice address

44 Abbott Ter
Waterbury, CT 06702-1431

Phone

(203) 755-4870

Fax

(203) 755-9016

NPI assigned

Apr 6, 2006

Organization subpart

Yes

Parent organization (as reported)

ATHENA HEALTH CARE ASSOCIATES

Authorized official

Name

Lawrence G. Santilli

Title

Manager

Phone

(860) 751-3900

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Athena Health Care Associates Inc Skilled Nursing Facility · Farmington, CT · NPI 1053690149
  NPPES parent name

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Abbott Terrace Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 16, 2023.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1912969601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ABBOTT TER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021431",
            "telephone_number": "203-755-4870",
            "fax_number": "203-755-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ABBOTT TER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021431",
            "telephone_number": "203-755-4870",
            "fax_number": "203-755-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT TERRACE HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CT",
            "license": "1089-C",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1089-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010892",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000092189",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbott Terrace Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abbott Terrace Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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