Active NPIOrganization

Shady Knoll Health Care Center, INC.

Skilled Nursing Facility in Seymour, Connecticut

NPI Number1215370994
Practice location
41 Skokorat St, Seymour, CT 06483-3826
Fax
203-881-0853
Last updated
June 11, 2013

Shady Knoll Health Care Center, INC. is a healthcare organization based in Seymour, CT. Shady Knoll Health Care Center, INC. practices in Seymour, CT. The NPI Number for Shady Knoll Health Care Center, INC. is 1215370994 and holds a License No. 2107c (CT). The current practice location address for Shady Knoll Health Care Center, INC. is 41 Skokorat St, Seymour, CT 06483-3826 and can be reached out via phone at 203-881-2555 and via fax at 203-881-0853.

Provider Profile Details

NPI Number
1215370994
Provider Name
Shady Knoll Health Care Center, INC.
Provider Entity Type
Organization
Address
41 Skokorat St, Seymour, CT 06483-3826
Phone Number
203-881-2555
Fax Number
203-881-0853
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Athena Health Care Associates
Authorized Official
Michael Mosier · Cfo · 860-751-3900
Other Names
Shady Knoll Health Center (Doing Business As)
Provider Enumeration Date
April 11, 2013
Last Update Date
June 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Skokorat St
Seymour, CT 06483-3826
Zip
06483-3826
Phone Number
203-881-2555
Fax Number
203-881-0853
Seymour, CT 06483Get directions →

Provider Business Mailing Address Details

Address
41 Skokorat St
Seymour, CT 06483-3826
City
Seymour
State
CT
Zip
06483-3826
Phone Number
203-881-2555
Fax Number
203-881-0853

License Information

License Number
2107c
License State
CT
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shady Knoll Health Care Center, INC.?

The NPI number of Shady Knoll Health Care Center, INC. is 1215370994. It was assigned on April 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Shady Knoll Health Care Center, INC.?

Shady Knoll Health Care Center, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 2107c.

Where does Shady Knoll Health Care Center, INC. practice?

The practice location is 41 Skokorat St, Seymour, CT 06483-3826. The office can be reached at 203-881-2555 (phone) or 203-881-0853 (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 1215370994 directly on the NPPES registry website.

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