Staywell Health Care, Inc.
LBN: Staywell Health Care, Inc.
Staywell Health Care, Inc. is an health care organization with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Staywell Health Care, Inc. can be contacted via phone (203) 756-8021, or through Thompson, Donald via phone (203) 756-8021.
Contact Information
Primary practice address
80 Phoenix Ave
Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Connecticut | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 0360 | Connecticut |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0736 | Connecticut |
Profile Details
| NPI number | 1154342335 |
|---|---|
| LBN Legal business name | Staywell Health Care, Inc. |
| DBA Doing business as | |
| Authorized official | Thompson, Donald |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jan 9th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154342335 | NPPES |
| Connecticut | MEDICAID | 004235984 | |
| Connecticut | MEDICAID | 004235968 | |
| Connecticut | MEDICAID | 004235976 |
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