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STAYWELL/SALVATION ARMY
NPI 1669629911
General Practice in Waterbury, CT

Active since August 19, 2008
74 CENTRAL AVE, WATERBURY, CT 06702(203) 756-8021(203) 596-9038 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Staywell/salvation Army NPPES

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

STAYWELL/SALVATION ARMY (NPI 1669629911) is a healthcare organization registered as a general practice in Waterbury, Connecticut and active in the NPI registry since August 2008. The organization lists Donald Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1669629911
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTAYWELL HEALTHCARE, INC
Location Address74 CENTRAL AVEWaterbury, CT 06702-1207
Mailing Address80 Phoenix Ave Ste 201Waterbury, CT 06702-1418 · (203) 756-8021 · Fax (203) 596-9038
Phone(203) 756-8021
Fax(203) 596-9038
Organization SubpartNo
Authorized OfficialDonald ThompsonPresident · (203) 756-8021
Enumeration DateAugust 19, 2008
✔ NPI 1669629911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

74 CENTRAL AVE, Waterbury, CT 06702
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Other Names 1

Other NameStaywell/salvation Army

Other Identifiers 2

Medicare OSCAR/certification071835CT
Medicare PINC00415

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Staywell Healthcare, Inc's NPI number?

The NPI number for Staywell Healthcare, Inc is 1669629911. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Staywell Healthcare, Inc located?

Staywell Healthcare, Inc is located at 74 Central Ave, Waterbury, CT 06702. The listed phone number is (203) 756-8021.

What is Staywell Healthcare, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Staywell Healthcare, Inc was last updated on August 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.