Shady Knoll Health Center, Inc in Seymour - Skilled Nursing Facility
Shady Knoll Health Center, Inc - NPI 1225098643
Shady Knoll Health Center, Inc is a Skilled Nursing Facility in Seymour, Connecticut. Shady Knoll Health Center, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shady Knoll Health Center, Inc is 1225098643. The last update date is 2023-02-16.
Shady Knoll Health Center, Inc's current location address is 41 Skokorat St, Seymour, Connecticut. You can contact this provider via phone number 2038812555 and fax number 2038810853. The mailing address for Shady Knoll Health Center, Inc is 41 Skokorat St, Seymour, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shady Knoll Health Center, Inc |
|---|---|
| Address | 41 Skokorat St, Seymour, Connecticut |
| Phone Number | 2038812555 |
| Fax Number | 2038810853 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Santilli G. Lawrence |
| Telephone Number | 8607513900 |
NPI Number Detail
| NPI Number | 1225098643 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2023-02-16 |
Provider Mailing Address Detail
| Address | 41 Skokorat St |
|---|---|
| City | Seymour |
| State | Connecticut (CT) |
| Post Code | 64833826 |
| Phone Number | 2038812555 |
| Fax Number | 2038810853 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2107-C |
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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 |
|---|---|---|---|
| 21072 | CT | -- | |
| 95267 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shady Knoll Health Center, Inc by the Centers for Medicare & Medicaid Services?
The Shady Knoll Health Center, Inc has been issued the NPI (National Provider Identifier) 1225098643 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 Shady Knoll Health Center, Inc?
The Shady Knoll Health Center, Inc is physically situated at 41 Skokorat St, in the city of Seymour, state of CT, with the postal code 64833826.
What is Shady Knoll Health Center, Inc's area of expertise and its corresponding taxonomy classification?
The Shady Knoll Health Center, Inc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1225098643 to Shady Knoll Health Center, Inc?
The Centers for Medicare & Medicaid Services assigned the 1225098643 to Shady Knoll Health Center, Inc on 2006-03-28.
When was the information regarding Shady Knoll Health Center, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shady Knoll Health Center, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-16.