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Contact Information

MAPLE VIEW MANOR OF CT LLC
856 MAPLE STREET
ROCKY HILL, CT06067
 Phone: 860-563-2861
 Fax: 860-257-9128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for MAPLE VIEW MANOR OF CT LLC

NPI # 1780742619
LBN Legal business name MAPLE VIEW MANOR OF CT LLC
Authorized official BARRY BOKOW - (VICE PRESIDENT, CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 06/12/2015 - About 11 years ago
Identifiers
CT License # 940C
CT Medicaid 000009407
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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