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Kadeem David Johnson
Skilled Nursing Facility in Wallingford, Connecticut
NPI 1194286005

Kadeem David Johnson is a Skilled Nursing Facility based in Hartford, CT. Kadeem David Johnson practices in Wallingford, CT. The NPI Number for Kadeem David Johnson is 1194286005 and holds a License No. (Connecticut).

The current practice location address for Kadeem David Johnson is 35 Mark Drive, Wallingford, CT and can be reached out via phone at 203-265-0981. You can also correspond with Kadeem David Johnson through the mailing address at 2 PARK PL APT 18E, HARTFORD, CT - 06106-5016 (mailing address contact number: ).

Location: 35 Mark Drive, Wallingford, CT, 06106-5016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194286005
Provider Name
Kadeem David Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
35 Mark Drive, Wallingford, CT, 06106-5016
Phone Number
203-265-0981
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
35 Mark Drive
City
Wallingford
State
Connecticut
Zip
06492
Phone Number
203-265-0981
Fax Number
person
Provider Business Mailing Address Details
Address
2 Park Pl Apt 18E
City
Hartford
State
Connecticut
Zip
06106-5016
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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