OrganizationActive
Club Staffing
NPI 1063604601 · Skilled Nursing Facility · Wallingford, CT
Provider details
- NPI number
- 1063604601
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anna Hladky, Occupational Therapist(203) 915-3376
- License
- 003103 (CT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1345 Whirlwind Hill Rd
Wallingford, CT 06492-2727
Phone: (561) 367-1175
Street-level locationGet directions
Mailing address
1345 Whirlwind Hill Rd
Wallingford, CT 06492-2727
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2007-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.