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Contact Information

WESTSIDE CARE CENTER LLC
349 BIDWELL STREET
MANCHESTER, CT06040
 Phone: 860-647-9191
 Fax: 860-643-6147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for WESTSIDE CARE CENTER LLC

NPI # 1568520963
LBN Legal business name WESTSIDE CARE CENTER LLC
Authorized official CHIRS WRIGHT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 10/10/2012 - About 14 years ago
Identifiers
CT License # 2291
CT Medicaid 000007807
Other 775 BCBS
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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