1145 Poquonnock Road Operations LLC
Skilled Nursing Facility in Groton, Connecticut
1154502672- Practice location
- 1145 Poquonnock RD, Groton, CT 06340-4620
- Phone
- 860-446-9960
- Fax
- 860-449-0290
- Last updated
- June 26, 2025
1145 Poquonnock Road Operations LLC is a healthcare organization based in Groton, CT. 1145 Poquonnock Road Operations LLC practices in Groton, CT. The NPI Number for 1145 Poquonnock Road Operations LLC is 1154502672 and holds a License No. 1889 (CT). The current practice location address for 1145 Poquonnock Road Operations LLC is 1145 Poquonnock RD, Groton, CT 06340-4620 and can be reached out via phone at 860-446-9960 and via fax at 860-449-0290.
Provider Profile Details
- NPI Number
- 1154502672
- Provider Name
- 1145 Poquonnock Road Operations LLC
- Provider Entity Type
- Organization
- Address
- 1145 Poquonnock RD, Groton, CT 06340-4620
- Phone Number
- 860-446-9960
- Fax Number
- 860-449-0290
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael T Berg · Secretary · 610-444-6350
- Other Names
- Groton Regency Center (Doing Business As)
- Provider Enumeration Date
- November 27, 2007
- Last Update Date
- June 26, 2025
- Certification Date
- June 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1145 Poquonnock RD
Groton, CT 06340-4620 - City
- Groton
- State
- Connecticut
- Zip
- 06340-4620
- Phone Number
- 860-446-9960
- Fax Number
- 860-449-0290
Provider Business Mailing Address Details
- Address
- 101 E State St
Kennett Square, PA 19348-3109 - City
- Kennett Square
- State
- PA
- Zip
- 19348-3109
- Phone Number
- 610-925-4436
- Fax Number
- 610-925-4351
License Information
- License Number (1)
- 1889
- License State (1)
- CT
- Taxonomy (1)
- Assisted Living Facility · 310400000X
- License Number (2)
- 2374
- License State (2)
- CT
- Taxonomy (2)
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1145 Poquonnock Road Operations LLC?
The NPI number of 1145 Poquonnock Road Operations LLC is 1154502672. It was assigned on November 27, 2007 and is currently active in the NPPES registry.
What is the specialty of 1145 Poquonnock Road Operations LLC?
1145 Poquonnock Road Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 1889.
Where does 1145 Poquonnock Road Operations LLC practice?
The practice location is 1145 Poquonnock RD, Groton, CT 06340-4620. The office can be reached at 860-446-9960 (phone) or 860-449-0290 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154502672 directly on the NPPES registry website.