Healthcare Provider Details

I. General information

NPI: 1255566543
Provider Name (Legal Business Name): PARADIGM HEALTHCARE CENTER OF TORRINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 FERN DR
TORRINGTON CT
06790-3807
US

IV. Provider business mailing address

80 FERN DR
TORRINGTON CT
06790-3807
US

V. Phone/Fax

Practice location:
  • Phone: 860-482-7668
  • Fax: 860-496-7815
Mailing address:
  • Phone: 860-482-7668
  • Fax: 860-496-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT L ZISKIN
Title or Position: MEMBER/VICE PRESIDENT
Credential:
Phone: 860-729-6268