Spectrum Healthcare Waterbridge, Llc in Ansonia - Skilled Nursing Facility
Spectrum Healthcare Waterbridge, Llc - NPI 1104807304
Spectrum Healthcare Waterbridge, Llc is a Skilled Nursing Facility in Ansonia, Connecticut. Spectrum Healthcare Waterbridge, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Spectrum Healthcare Waterbridge, Llc is 1104807304. The last update date is 2008-08-12.
Spectrum Healthcare Waterbridge, Llc's current location address is 126 Ford St, Ansonia, Connecticut. You can contact this provider via phone number 8608715454 and fax number 8608715757. The mailing address for Spectrum Healthcare Waterbridge, Llc is 126 Ford St, Ansonia, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spectrum Healthcare Waterbridge, Llc |
|---|---|
| Address | 126 Ford St, Ansonia, Connecticut |
| Phone Number | 8608715454 |
| Fax Number | 8608715757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Dickstein William Howard |
| Credentials | PHD |
| Telephone Number | 8608715454 |
NPI Number Detail
| NPI Number | 1104807304 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 126 Ford St |
|---|---|
| City | Ansonia |
| State | Connecticut (CT) |
| Post Code | 64012635 |
| Phone Number | 8608715454 |
| Fax Number | 8608715757 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2261 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21204 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Spectrum Healthcare Waterbridge, Llc by the Centers for Medicare & Medicaid Services?
The Spectrum Healthcare Waterbridge, Llc has been assigned the NPI (National Provider Identifier) 1104807304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Spectrum Healthcare Waterbridge, Llc?
The Spectrum Healthcare Waterbridge, Llc is situated at 126 Ford St, in the city of Ansonia, state of CT, with the zip code 64012635.
What is Spectrum Healthcare Waterbridge, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spectrum Healthcare Waterbridge, Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did Spectrum Healthcare Waterbridge, Llc receive its 1104807304 assignment from the Centers for Medicare & Medicaid Services?
The Spectrum Healthcare Waterbridge, Llc was assigned its 1104807304 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Spectrum Healthcare Waterbridge, Llc's information last updated?
The Spectrum Healthcare Waterbridge, Llc's information was last updated on 2008-08-12.