MEDICARE: NEW SAMARITAN CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility
2	314000000X	Skilled Nursing Facility	2132C	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497755870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SAMARITAN CORPORATION

Provider Business Mailing Address
First Line	:	100 WARREN CIRCLE
Second Line	:
City	:	STORRS
State	:	CT
Zip	:	06268-2074
Country	:	US
Telephone Number	:	860-487-2300
Fax Number	:	860-487-0022

Provider Business Practice Location Address
First Line	:	100 WARREN CIRCLE
Second Line	:
City	:	STORRS
State	:	CT
Zip	:	06268
Country	:	US
Telephone Number	:	860-487-2300
Fax Number	:	860-487-0022

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JAMES A. FIDANZA
Credential	:
Telephone Number	:	860-487-2300

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	05/15/2018

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Directions to “NEW SAMARITAN CORPORATION ” Practice Location

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