# STELLA MEDICAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255851481
- **Authorized official:** JACK DITEODORO MD (MANAGER)
- **Authorized official phone:** (203) 912-7807

## Contact information

- **Practice address:** VILLA AT STAMFORD 88 ROCK RIMMON RD, STAMFORD, CT 06903
- **Practice address phone:** (203) 912-7807
- **Practice address fax:** (203) 358-9775
- **Mailing address:** 34 LAWRENCE HILL RD, STAMFORD, CT 06903
- **Mailing address phone:** (203) 912-7807
- **Mailing address fax:** (203) 358-9775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4729 | CT | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 03/14/2026