Organization
301 ROPE FERRY ROAD, LLC
Active
Parent organization
ATHENA HEALTH CARE
Other names
Bayview Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
301 ROPE FERRY RD, WATERFORD, CT 06385-2610
(860) 444-1175
(860) 437-2173
Mailing address
301 ROPE FERRY RD, WATERFORD, CT 06385-2610
(860) 444-1175
(860) 437-2173
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
2318
CT
314000000X
Skilled Nursing Facility
Primary
2318
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020503
—
CT
05
—
000095150
—
CT
Enumeration date
06/15/2005
Last updated
02/16/2023
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