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WATERBURY EXTENDED CARE FACILITY
NPI 1770653339
Nursing Facility/Intermediate Care Facility in Watertown, CT

Active since November 09, 2006
35 BUNKER HILL RD, WATERTOWN, CT 06795(860) 274-5428(860) 945-7034 Get Directions Write a Review

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

About Waterbury Extended Care Facility NPPES

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

WATERBURY EXTENDED CARE FACILITY (NPI 1770653339) is a healthcare organization registered as a nursing facility/intermediate care facility in Watertown, Connecticut and active in the NPI registry since November 2006. The organization lists Mark Hambley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770653339
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameWATERBURY EXTENDED CARE FACILITY
Location Address35 BUNKER HILL RDWatertown, CT 06795-3304
Mailing Address35 Bunker Hill RdWatertown, CT 06795-3304 · (860) 274-5428 · Fax (860) 945-7034
Phone(860) 274-5428
Fax(860) 945-7034
Organization SubpartNo
Authorized OfficialMark HambleyCfo · (860) 678-9755
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770653339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CT · 1082-C
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
35 BUNKER HILL RD, Watertown, CT 06795
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Other Providers at the Same Location NPPES 15

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

LISA MICHELE BRETON PTA, LAC
Physical Therapy Assistant
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5429
MRS. STEFANIE LYN SEELEY OTR/L
Occupational Therapist
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
MRS. AMY PORTER BELAND COTAL
Occupational Therapy Assistant
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
MARCIE LYN PETRUCCI COTA
Occupational Therapy Assistant
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
WILLIAM MILLER
Physical Therapy Assistant
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
KATHLEEN GOULET PT
Physical Therapist
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
MATTHEW EGAN PT
Physical Therapist
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428
WATERBURY EXTENDED CARE FACILITY, INC.
Skilled Nursing Facility
35 BUNKER HILL RD
WATERTOWN, CT 06795
Naugatuck Valley Planning Region (860) 274-5428

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 Waterbury Extended Care Facility's NPI number?

The NPI number for Waterbury Extended Care Facility is 1770653339. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Waterbury Extended Care Facility located?

Waterbury Extended Care Facility is located at 35 Bunker Hill Rd, Watertown, CT 06795. The listed phone number is (860) 274-5428.

What is Waterbury Extended Care Facility's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Waterbury Extended Care Facility 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.