AVALON HEALTH CARE CENTER AT STONERIDGE – NPI #1467436907
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

AVALON HEALTH CARE CENTER AT STONERIDGE is a skilled nursing facility (SNF) located in MYSTIC, CT. NPPES has assigned the NPI number 1467436907 to AVALON HEALTH CARE CENTER AT STONERIDGE on November 29, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVALON HEALTH CARE CENTER AT STONERIDGE” is a dba name, the actual legal business name for this organization is STONERIDGE SENIOR CARE LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 10 years ago on Mar 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVALON HEALTH CARE CENTER AT STONERIDGE below.

NPI Profile for
STONERIDGE SENIOR CARE LLC

NPI Number
1467436907
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STONERIDGE SENIOR CARE LLC
Doing Business As (dba): AVALON HEALTH CARE CENTER AT STONERIDGE
Primary location
186 JERRY BROWN RD
MYSTIC, CT 06355
Phone: (860) 572-5613 Fax: (860) 245-0551
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTIN STEINBERGER
MANAGER OF MANAGING MEMBER
Phone: (407) 999-2400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
CT 2305

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.