National Provider Identifier Database

23 FAIR STREET OPERATIONS LLC
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.


Contact Information

23 FAIR STREET OPERATIONS LLC
23 FAIR ST
BRISTOL, CT06010-5531
Phone: 860-589-2923
Fax: 860-589-2924
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X
Long Term Care Hospital 282E00000X

* Indicates primary specialty

NPI Profile & details for 23 FAIR STREET OPERATIONS LLC

NPI Number 1912382185
Legal business name
LBN
23 FAIR STREET OPERATIONS LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart Yes
Enumeration date 07/29/2015
Last updated 05/20/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 0000
  • CT License #: 00000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for 23 FAIR STREET OPERATIONS LLC

There are currently no reviews for 23 FAIR STREET OPERATIONS LLC


NPIdb - Home
v2.201