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Contact Information

COVENANT HOME, INC. (CONNECTICUT)
52 MISSIONARY ROAD
CROMWELL, CT06416
 Phone: 860-635-2690
 Fax: 860-632-2407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for COVENANT HOME, INC. (CONNECTICUT)

NPI # 1851497093
LBN Legal business name COVENANT HOME, INC. (CONNECTICUT)
Authorized official ELIZABETH MALZAHN - (VICE PRESIDENT OF HEALTH SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 09/06/2016 - About 10 years ago
Identifiers
CT License # 966-C
CT Medicaid 000007260
CT Medicaid 0092064
CT Other 0092064 ICF MEDICAID
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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