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Contact Information

VILLAGE MANOR INC BANKRUPTCY
16 WINDSOR AVENUE
PLAINFIELD, CT06374
 Phone: 860-564-4081
 Fax: 860-564-1472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for VILLAGE MANOR INC BANKRUPTCY

NPI # 1861456840
LBN Legal business name VILLAGE MANOR INC BANKRUPTCY
Authorized official TIMOTHY COBURN - (ADMINISTRATOR/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2006
Last updated 01/13/2011 - About 15 years ago
Identifiers
CT License # 2003-C
CT Medicaid #20032
CT Medicaid 000020032
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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