LCS Essex Meadows LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LCS ESSEX MEADOWS LLC

Practice address

30 Bokum Rd
Essex, CT 06426-1510

Phone

(860) 767-7201

Fax

(860) 767-0014

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Diane C Bridgewater

Title

Manager of Managing Member

Phone

(515) 875-4500

Specialties & licenses 1

Addresses

Other names 1

• Essex Meadows Health Center Doing business as

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1982180287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261510",
            "telephone_number": "860-767-7201",
            "fax_number": "860-767-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261510",
            "telephone_number": "860-767-7201",
            "fax_number": "860-767-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCS ESSEX MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER OF MANAGING MEMBER",
        "authorized_official_telephone_number": "515-875-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Meadows Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Jean Koch, ED.D., LCSW
• Donna Maire Kookoolis, PTA
• Elisabeth Marijke Kressley, MD
• Kathleen S Labella, RD, CD-N
• Rebecca Louise Lamarre, MFT
• Lee Weber Aprn LLC
• Karyn Anne Leipold, MSW LCSW CADC
• Gang Gary Lian, M,D., PH.D.
• Donna Libby
• Meredith Ann Lindner, DO

• Skilled Nursing Facility in Essex, CT
• Providers in Essex, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.