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Contact Information

FAIRVIEW HEALTH OF GREENWICH LLC
1188 KING STREET
GREENWICH, CT06830
 Phone: 203-531-8300
 Fax: 203-531-0227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for FAIRVIEW HEALTH OF GREENWICH LLC

NPI Number 1023198470
LBN Legal business name FAIRVIEW HEALTH OF GREENWICH LLC
Authorized official ELIYAHU MIRLIS - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 01/02/2019 - About 7 years ago
Identifiers
CT Medicaid 000007609
NY Medicaid 00475654
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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