Active NPI
Naugatuck Health Care, LLC
- Physical Therapy Clinic/Center
- Naugatuck, CT
National Provider Identifier
1962755587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2182C
- Legal business name
- NAUGATUCK HEALTH CARE, LLC
- Practice address
- 89 Weid Dr
Naugatuck, CT 06770-4764 - Phone
- (203) 729-9889
- Fax
- (203) 720-4082
- NPI assigned
- Oct 19, 2012
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTH CARE ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Mosier
- Title
- Cfi
- Phone
- (860) 751-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2182C | CT | Primary |
Addresses
Primary practice location
89 Weid Dr
Naugatuck, CT 06770-4764
Mailing address
89 Weid Dr
Naugatuck, CT 06770-4764
Phone (203) 729-9889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021238 | Medicaid | CT |
Other names 1
- Beacon Brook Health Care
National Provider Directory
National Provider Directory- Part of
- Athena Health Care Associates Inc
Ownership & related parties
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.
-
- Skilled Nursing Facility
- Farmington, CT
- NPI 1053690149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1962755587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 WEID DR",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067704764",
"telephone_number": "203-729-9889",
"fax_number": "203-720-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 WEID DR",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067704764",
"telephone_number": "203-729-9889",
"fax_number": "203-720-4082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUGATUCK HEALTH CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES",
"enumeration_date": "2012-10-19",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "MOSIER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFI",
"authorized_official_telephone_number": "860-751-3900"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CT",
"license": "2182C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000021238",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beacon Brook Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.