Chestelm Health Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2196-C Issued in CT

Legal business name

CHESTELM HEALTH CARE, INC

Practice address

534 Town St
Moodus, CT 06469-1101

Phone

(860) 873-1455

Fax

(860) 873-2307

NPI assigned

Jun 17, 2005

Last updated

Sep 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Marinan

Title

Administrator

Phone

(860) 873-1455

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Yarbrough, RN

  • Skilled Nursing Facility
  • Moodus, CT
  • NPI 1801563234
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1982609673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101",
            "telephone_number": "860-873-1455",
            "fax_number": "860-873-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101",
            "telephone_number": "860-873-1455",
            "fax_number": "860-873-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTELM HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "MARINAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-873-1455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2196-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Laurie Barker, MSW
• Tanisha Bergeron, MA.CCC-SLP
• Bridges Counseling and Wellness PLLC
• Katrina Casey
• Chestelm Adult Day Services Inc (Chestelm Adult Day Services)
• Chestelm Skilled Operations LLC
• Chestelm SNF Operations LLC
• Lisa L Conroy, ATC, LAT
• Chelsea Da Paz
• Derek Donovan, PA-C

• Skilled Nursing Facility in Moodus, CT
• Providers in Moodus, 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 Sep 6, 2011; 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.