Provider Demographics
NPI:1518018233
Name:PARAMOUNT SENIOR LIVING LITCHFIELD
Entity Type:Organization
Organization Name:PARAMOUNT SENIOR LIVING LITCHFIELD
Other - Org Name:THE SARAH PIERCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-567-9500
Mailing Address - Street 1:19 CONSTITUTION WAY
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-3428
Mailing Address - Country:US
Mailing Address - Phone:860-567-9500
Mailing Address - Fax:
Practice Address - Street 1:19 CONSTITUTION WAY
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-3428
Practice Address - Country:US
Practice Address - Phone:860-567-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0108310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility