Athena Middlesex Llc in Middletown - Skilled Nursing Facility

Athena Middlesex Llc - NPI 1861509044

Athena Middlesex Llc is a Skilled Nursing Facility in Middletown, Connecticut. Athena Middlesex Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Athena Middlesex Llc is 1861509044. The last update date is 2023-02-16.

Athena Middlesex Llc's current location address is 100 Randolph Rd, Middletown, Connecticut. You can contact this provider via phone number 8603440353 and fax number 8603461932. The mailing address for Athena Middlesex Llc is 100 Randolph Rd, Middletown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Athena Middlesex Llc
Address 100 Randolph Rd, Middletown, Connecticut
Phone Number 8603440353
Fax Number 8603461932
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Santilli G. Lawrence
Telephone Number 8607513900

NPI Number Detail

NPI Number 1861509044
Provider Enumeration Date 2006-08-24
Last Updated Date 2023-02-16

Provider Mailing Address Detail

Address 100 Randolph Rd
City Middletown
State Connecticut (CT)
Post Code 64575637
Phone Number 8603440353
Fax Number 8603461932

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 2263
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
827 CT BCBS
9472 CT --

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FAQs about Athena Middlesex Llc

What is the unique 10-digit identifier code assigned to Athena Middlesex Llc by the Centers for Medicare & Medicaid Services?

The Athena Middlesex Llc has been issued the NPI (National Provider Identifier) 1861509044 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Athena Middlesex Llc?

The Athena Middlesex Llc is physically situated at 100 Randolph Rd, in the city of Middletown, state of CT, with the postal code 64575637.

What is the area of specialization for Athena Middlesex Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Athena Middlesex Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1861509044 to Athena Middlesex Llc?

The Athena Middlesex Llc received its 1861509044 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.

When was the information pertaining to Athena Middlesex Llc most recently updated or revised?

The details related to Athena Middlesex Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-02-16.

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