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MULBERRY GARDENS
NPI 1972720076
Assisted Living Facility in Plantsville, CT

Active since April 19, 2007CLIA 07D2198545 · Waiver
58 MULBERRY ST, PLANTSVILLE, CT 06479(860) 276-1020(860) 378-1081 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Mulberry Gardens NPPES

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

MULBERRY GARDENS (NPI 1972720076) is a healthcare organization registered as an assisted living facility in Plantsville, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Jacquelyn Gaulin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972720076
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMULBERRY GARDENS
Location Address58 MULBERRY STPlantsville, CT 06479-1704
Mailing Address58 Mulberry StPlantsville, CT 06479-1704 · (860) 276-1020 · Fax (860) 378-1081
Phone(860) 276-1020
Fax(860) 378-1081
Organization SubpartNo
Authorized OfficialJacquelyn GaulinExecutive Director · (860) 276-1020
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1972720076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CT · AL-0035
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.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
58 MULBERRY ST, Plantsville, CT 06479
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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 07D2198545

Mulberry Gardens · Plantsville, CT
Active · expires Nov 2, 2026
CLIA Number07D2198545
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorIngrid S. Kausyla
Laboratory Phone(860) 378-3904
Laboratory LocationMulberry Gardens58 Mulberry St, Plantsville, CT 06479
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOHN JAMES MURRAY III OT
Occupational Therapist (Physical Rehabilitation)
58 MULBERRY ST
PLANTSVILLE, CT 06479
Capitol Planning Region (860) 276-1020

Frequently Asked Questions

What is MULBERRY GARDENS's NPI number?

The NPI number assigned to this healthcare provider is 1972720076, enumerated as an "organization" on April 19, 2007.

Where is the provider located?

The provider is located at 58 MULBERRY ST PLANTSVILLE, CT 06479 and the phone number is (860) 276-1020.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.