COMPLETE CARE AT GROTON REGENCY LLC
NPI 1124795190
Skilled Nursing Facility in Groton, CT

Active since August 26, 2021CLIA 07D0095464 · Waiver
1145 POQUONNOCK RD, GROTON, CT 06340(860) 446-9960 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Aug 26, 2021 (2 updates tracked since 2021).

About Complete Care At Groton Regency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE CARE AT GROTON REGENCY LLC (NPI 1124795190) is a healthcare organization registered as a skilled nursing facility in Groton, Connecticut and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Shalom Stein, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1124795190
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOMPLETE CARE AT GROTON REGENCY LLC
Location Address1145 POQUONNOCK RDGroton, CT 06340-4620
Mailing Address1145 Poquonnock RdGroton, CT 06340-4620
Organization SubpartNo
Authorized OfficialShalom SteinAuthorized Representative · (732) 313-0880
Enumeration DateAugust 26, 2021
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1124795190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1145 POQUONNOCK RD, Groton, CT 06340

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0095464

Complete Care At Groton Regency LLC · Groton, CT
Active · expires Mar 24, 2028
CLIA Number07D0095464
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorJeffrey E. Turner
Laboratory Phone(860) 446-9960
Laboratory LocationComplete Care At Groton Regency LLC1145 Poquonnock Road, Groton, CT 06340
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Occupational Therapy Assistant
1145 POQUONNOCK RD
GROTON, CT 06340
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Skilled Nursing Facility
1145 POQUONNOCK RD
GROTON, CT 06340
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Physical Therapy Assistant
1145 POQUONNOCK RD
GROTON, CT 06340
Physical Therapist
1145 POQUONNOCK RD
GROTON, CT 06340
Speech-Language Pathologist
1145 POQUONNOCK RD
GROTON, CT 06340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Care At Groton Regency LLC's NPI number?

The NPI number for Complete Care At Groton Regency LLC is 1124795190. It was assigned to this organization in the NPPES registry on August 26, 2021.

Where is Complete Care At Groton Regency LLC located?

Complete Care At Groton Regency LLC is located at 1145 Poquonnock Rd, Groton, CT 06340. The listed phone number is (860) 446-9960.

What is Complete Care At Groton Regency LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Complete Care At Groton Regency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0095464) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Complete Care At Groton Regency LLC was last updated on May 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.