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LUTHER RIDGE AT MIDDLETOWN, INC
NPI 1851414585
Assisted Living Facility in Middletown, CT

Active since April 09, 2007CLIA 07D0644669 · Waiver
628 CONGDON ST W, MIDDLETOWN, CT 06457(860) 347-7144(860) 347-3942 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luther Ridge At Middletown, Inc NPPES

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

LUTHER RIDGE AT MIDDLETOWN, INC (NPI 1851414585) is a healthcare organization registered as an assisted living facility in Middletown, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Susan Sokol, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851414585
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUTHER RIDGE AT MIDDLETOWN, INC
Location Address628 CONGDON ST WMiddletown, CT 06457-7939
Mailing Address628 Congdon St WMiddletown, CT 06457-7939
Phone(860) 347-7144
Fax(860) 347-3942
Organization SubpartNo
Authorized OfficialSusan SokolExecutive Director · (860) 347-7144
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1851414585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CT · 0113
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
628 CONGDON ST W, Middletown, CT 06457
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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 07D0644669

Luther Ridge · Middletown, CT
Active · expires Mar 4, 2027
CLIA Number07D0644669
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorBruce Graves
Laboratory Phone(860) 347-7144
Laboratory LocationLuther Ridge628 Congdon Street West, Middletown, CT 06457
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 3

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

MS. THERESA ELIZABETH BARNEY OT
Occupational Therapist
628 CONGDON ST W
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 704-8132
ALEXA CATHLEEN KEATING PT, DPT
Physical Therapist
628 CONGDON ST W
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 915-9707
PAULA ACCOMANDO
Physical Therapist
628 CONGDON ST W
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 704-8132

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 Luther Ridge At Middletown, Inc's NPI number?

The NPI number for Luther Ridge At Middletown, Inc is 1851414585. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Luther Ridge At Middletown, Inc located?

Luther Ridge At Middletown, Inc is located at 628 Congdon St W, Middletown, CT 06457. The listed phone number is (860) 347-7144.

What is Luther Ridge At Middletown, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Luther Ridge At Middletown, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0644669) is associated with this NPI, valid through March 4, 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 Luther Ridge At Middletown, 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.