Health Care Ventures Inc Dba Crescent Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2156C Issued in CT

Legal business name

HEALTH CARE VENTURES INC DBA CRESCENT MANOR

Practice address

1243 W Main St
Waterbury, CT 06708-3101

Phone

(203) 757-0561

Fax

(203) 755-5998

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Gladys Harrison

Title

Controller

Phone

(203) 250-2030

Specialties & licenses 1

Addresses

Other names 1

• CRESCENT MANOR Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962405720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HIGHLAND AVE",
            "address_2": "STE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101600",
            "telephone_number": "203-250-2030",
            "fax_number": "203-250-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083101",
            "telephone_number": "203-757-0561",
            "fax_number": "203-755-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE VENTURES INC DBA CRESCENT MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "203-250-2030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2156C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESCENT MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.