KADEEM DAVID JOHNSON
NPI 1194286005
Skilled Nursing Facility in Wallingford, CT

Active since March 26, 2019
35 MARK DRIVE, WALLINGFORD, CT 06492(203) 265-0981 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kadeem David Johnson NPPES

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

KADEEM DAVID JOHNSON (NPI 1194286005) is an individual skilled nursing facility provider in Wallingford, Connecticut and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1194286005
Entity TypeIndividualMale
Primary Taxonomy314000000X
Provider Legal NameKADEEM DAVID JOHNSON
Location Address35 MARK DRIVEWallingford, CT 06492
Mailing Address2 Park Pl Apt 18eHartford, CT 06106-5016
Sole ProprietorYes
Enumeration DateMarch 26, 2019
Last NPPES UpdateJuly 10, 2023
NPPES CertifiedJuly 3, 2023
NPI 1194286005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCounselorTaxonomy 101Y00000X
35 MARK DRIVE, Wallingford, CT 06492

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 Kadeem Johnson's NPI number?

The NPI number for Kadeem Johnson is 1194286005. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Kadeem Johnson located?

Kadeem Johnson practices at 35 Mark Drive, Wallingford, CT 06492. The listed phone number is (203) 265-0981.

What is Kadeem Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kadeem Johnson was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.