| Organization Name: | POMPERAUG WOODS,INC. |
| NPI Number: | 1154305290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN MOSHIER (ADMINISTRATOR) |
| Mailing Address: | 80 Heritage Rd Southbury |
| State: | CT US |
| Postal Code: | 064881882 |
| Phone Number: | 2032626555 |
| Fax Number: | 2032642155 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 11/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3140N1450X |
| License Number: | 2033-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Skilled Nursing Facility |
| Taxonomy Specialization: | Nursing Care, Pediatric |
| Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |