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Contact Information

ORCHARD GROVE SPECIALTY CARE CENTER LLC
5 RICHARD BROWN DRIVE
UNCASVILLE, CT06382
 Phone: 860-848-8466
 Fax: 860-848-7456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for ORCHARD GROVE SPECIALTY CARE CENTER LLC

NPI Number 1205994480
LBN Legal business name ORCHARD GROVE SPECIALTY CARE CENTER LLC
Authorized official MARK HAMBLEY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 04/01/2015 - About 11 years ago
Identifiers
CT License # 2306
CT Medicaid 0021064
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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