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Contact Information

MYSTIC HEALTHCARE & REHABILITATION CENTER LLC
475 HIGH STREET
MYSTIC, CT06355
 Phone: 860-536-6070
 Fax: 860-536-9480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for MYSTIC HEALTHCARE & REHABILITATION CENTER LLC

NPI # 1780635938
LBN Legal business name MYSTIC HEALTHCARE & REHABILITATION CENTER LLC
Authorized official MARTIN SBRIGLIO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 08/26/2014 - About 12 years ago
Identifiers
CT License # 839-C
CT Medicaid 000008391
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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