Healthcare Provider Details

I. General information

NPI: 1811087224
Provider Name (Legal Business Name): SAINT JOSEPHS LIVING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CLUB ROAD
WINDHAM CT
06280
US

IV. Provider business mailing address

14 CLUB ROAD
WINDHAM CT
06280
US

V. Phone/Fax

Practice location:
  • Phone: 860-456-1107
  • Fax: 860-450-7114
Mailing address:
  • Phone: 860-456-1107
  • Fax: 860-450-7114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2039C
License Number StateCT

VIII. Authorized Official

Name: JENNIFER SANTERRE
Title or Position: CFO
Credential: CPA
Phone: 789-471-5146