Athena Middlesex LLC

Skilled Nursing Facility · Middletown, CT

Organization Active NPI

NPI number 1861509044

Practice location

100 Randolph Rd
Middletown, CT 06457-5637
Phone
(860) 344-0353
Fax
(860) 346-1932

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NPI record

NPI
1861509044
Entity type
Organization (Type 2)
Enumeration date
August 24, 2006
Last updated
February 16, 2023
Certified
February 16, 2023
Organization subpart
Yes
Parent organization
Athena Health Care Associates

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 2263 CT

Authorized official

Name
Lawrence G. Santilli
Title
Manager
Phone
(860) 751-3900

Other names

  • Middlesex Health Care Center
  • Middlesex Health Care Center

About Athena Middlesex LLC

Athena Middlesex LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 100 Randolph Rd, Middletown, CT 06457-5637. The NPI number 1861509044 was assigned on August 24, 2006 and the record was last updated on February 16, 2023.

Athena Middlesex LLC lists a license in the registry: #2263 (CT) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Lawrence G. Santilli, Manager.

Frequently asked questions

What is the NPI number of Athena Middlesex LLC?

The NPI number is 1861509044.

What is the phone number of Athena Middlesex LLC?

The phone number listed for the practice location is (860) 344-0353.

Where is Athena Middlesex LLC located?

100 Randolph Rd, Middletown, CT 06457-5637.

What is the taxonomy code for Athena Middlesex LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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