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Contact Information

CHURCH HOME OF HARTFORD, INC
200 SEABURY DRIVE
BLOOMFIELD, CT06002-2650
 Phone: 860-286-0243
 Fax: 860-242-4552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for CHURCH HOME OF HARTFORD, INC

NPI Number 1285690925
LBN Legal business name CHURCH HOME OF HARTFORD, INC
Authorized official SHERI KNOWLTON - (SR. ACCOUNTANT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/21/2006
Last updated 01/22/2020 - About 6 years ago
Identifiers
CT License # 001308
CT License # 2103C
CT Medicaid 000021030
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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