# TI - WATERBURY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUCKS HILL NURSING AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578536959
- **Authorized official:** JOSEPH C TUTERA (OPERATOR)
- **Authorized official phone:** (816) 444-0900

## Contact information

- **Practice address:** 2817 N MAIN ST, WATERBURY, CT 06704-1604
- **Practice address phone:** (203) 757-0731
- **Practice address fax:** (203) 596-0892
- **Mailing address:** 2817 N MAIN ST, WATERBURY, CT 06704-1604
- **Mailing address phone:** (203) 757-0731
- **Mailing address fax:** (203) 596-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2272 | CT | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000007724 | — | CT |