Provider Demographics
NPI:1144377508
Name:WESTVIEW NURSING CARE & REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:WESTVIEW NURSING CARE & REHABILITATION CENTER INC
Other - Org Name:WESTVIEW HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:PANTELEAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-774-8574
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-0428
Mailing Address - Country:US
Mailing Address - Phone:860-774-8574
Mailing Address - Fax:860-779-5425
Practice Address - Street 1:150 WARE RD
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-1126
Practice Address - Country:US
Practice Address - Phone:860-774-8574
Practice Address - Fax:860-779-5425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT930C314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000009308Medicaid
CT075078Medicare ID - Type Unspecified
CT1050900001Medicare NSC