NPIMap

Organization Active NPI

Cheshire House Nursing and Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Waterbury, CT
National Provider Identifier
1962833178
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
003550 Issued in CT
Legal business name
CHESHIRE HOUSE NURSING AND REHABILITATION CENTER
Practice address
3396 E Main St
Waterbury, CT 06705-3812
Phone
(203) 754-2161
Fax
(203) 759-7359
NPI assigned
Dec 13, 2013
Organization subpart
Yes
Parent organization
RYDERS HEALTH MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Suzanne Dorothy Crean
Title
Physical Therapist
Phone
(203) 754-7359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 003550 CT Primary

Addresses

Primary practice location

3396 E Main St
Waterbury, CT 06705-3812

Mailing address

3396 E Main St
Waterbury, CT 06705-3812
Phone (203) 754-2161

National Provider Directory

National Provider Directory
Tax ID family
Cheshire House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3396 E Main St
Waterbury, CT 06705
Phone (203) 754-2161

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1962833178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053812",
            "telephone_number": "203-754-2161",
            "fax_number": "203-759-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053812",
            "telephone_number": "203-754-2161",
            "fax_number": "203-759-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESHIRE HOUSE NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYDERS HEALTH MANAGEMENT",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "CREAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "203-754-7359"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "003550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.