Provider Demographics
NPI:1609426485
Name:AL I/STAMFORD SENIOR HOUSING, L.L.C.
Entity Type:Organization
Organization Name:AL I/STAMFORD SENIOR HOUSING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-968-8393
Mailing Address - Street 1:251 TURN OF RIVER RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-1320
Mailing Address - Country:US
Mailing Address - Phone:203-968-8393
Mailing Address - Fax:203-968-8348
Practice Address - Street 1:251 TURN OF RIVER RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1320
Practice Address - Country:US
Practice Address - Phone:203-968-8393
Practice Address - Fax:203-968-8348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility