Organization · Type 2 NPI

Athena Middlesex LLC

Skilled Nursing Facility · Middletown, CT

NPI number 1861509044 Active

Practice location

100 Randolph Rd
Middletown, CT 06457-5637

Fax (860) 346-1932

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	2263 (CT)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

2 other providers at this address

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NPI record

NPI: 1861509044
Entity type: Organization (Type 2)
Issued: Aug 24, 2006
Last updated: Feb 16, 2023
Status: Active
Subpart: Yes of Athena Health Care Associates

Other names

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Middlesex Health Care Center · doing business as
Middlesex Health Care Center · doing business as

Authorized official

Lawrence G. Santilli
Manager
(860) 751-3900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861509044

Athena Middlesex LLC's National Provider Identifier is 1861509044, issued on Aug 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Middletown, CT. The record was last updated on Feb 16, 2023.