Organization Active NPI

Rosedale of Glastonbury LP

  • Assisted Living Facility
  • Glastonbury, CT
National Provider Identifier
1992923080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0069 Issued in CT
Legal business name
ROSEDALE OF GLASTONBURY LP
Practice address
1177 Hebron Ave
Glastonbury, CT 06033-5008
Phone
(860) 652-3444
Fax
(860) 659-2273
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen Boate
Title
Executive Director
Phone
(860) 652-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0069 CT Primary

Addresses

Primary practice location

1177 Hebron Ave
Glastonbury, CT 06033-5008

Mailing address

1177 Hebron Ave
Glastonbury, CT 06033-5008
Phone (860) 652-3444

Other names 1

  • Laurel Gardens of Glastonbury Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992923080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335008",
            "telephone_number": "860-652-3444",
            "fax_number": "860-659-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335008",
            "telephone_number": "860-652-3444",
            "fax_number": "860-659-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE OF GLASTONBURY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOATE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-652-3444"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "0069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Gardens of Glastonbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.