Mulberry Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0035 Issued in CT

Legal business name

MULBERRY GARDENS

Practice address

58 Mulberry St
Plantsville, CT 06479-1704

Phone

(860) 276-1020

Fax

(860) 378-1081

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquelyn Gaulin

Title

Executive Director

Phone

(860) 276-1020

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1972720076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MULBERRY ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791704",
            "telephone_number": "860-276-1020",
            "fax_number": "860-378-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MULBERRY ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791704",
            "telephone_number": "860-276-1020",
            "fax_number": "860-378-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GAULIN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-276-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "AL-0035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.