GROTON COMMUNITY HEALTH CARE CENTER INC
NPI 1477508083
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Groton, NY

Active since May 23, 2006CLIA 33D0165670 · Waiver
120 SYKES STREET, GROTON, NY 13073(607) 898-5876(607) 898-3034 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Groton Community Health Care Center Inc NPPES

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

GROTON COMMUNITY HEALTH CARE CENTER INC (NPI 1477508083) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Groton, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffery Earle, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1477508083
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGROTON COMMUNITY HEALTH CARE CENTER INC
Location Address120 SYKES STREETGroton, NY 13073
Mailing Address120 Sykes StreetGroton, NY 13073 · (607) 898-5876 · Fax (607) 898-3034
Fax(607) 898-3034
Organization SubpartNo
Authorized OfficialJeffery EarlePresident Ceo · (607) 898-5876
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1477508083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Licenses Licensed in NY · 80240433 Licensed in NY · 80240432
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
120 SYKES STREET, Groton, NY 13073

Other Identifiers 1

Medicaid02252913NY

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 33D0165670

Groton Community Health Care Center · Groton, NY
Active · expires Mar 26, 2027
CLIA Number33D0165670
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 17, 2004
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Darshan Patel
Laboratory Phone(607) 898-5876
Laboratory LocationGroton Community Health Care Center120 Sykes St, Groton, NY 13073
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 2

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

Skilled Nursing Facility
120 SYKES STREET
GROTON, NY 13073
Case Management
120 SYKES STREET
GROTON, NY 13073

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 Groton Community Health Care Center Inc's NPI number?

The NPI number for Groton Community Health Care Center Inc is 1477508083. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Groton Community Health Care Center Inc located?

Groton Community Health Care Center Inc is located at 120 Sykes Street, Groton, NY 13073. The listed phone number is (607) 898-5876.

What is Groton Community Health Care Center Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Groton Community Health Care Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0165670) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Groton Community Health Care Center Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.