Organization
SMITH HOUSE OPERATING, LLC
Active
Parent organization
SMITH HOUSE VENTURES, LLC
Other names
The Villa at Stamford
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMITH HOUSE VENTURES, LLC
Authorized official
CHARLES-EDOUARD GROS (MANAGING MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
88 ROCK RIMMON RD, STAMFORD, CT 06903-2817
(718) 360-8083
Mailing address
460 BAYVIEW AVE, INWOOD, NY 11096-1702
(718) 360-8083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
716-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007161
—
CT
Enumeration date
12/02/2015
Last updated
12/02/2015
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