Laurel Ridge Health Care Center

LBN: Athena Holdings, Llc
Laurel Ridge Health Care Center is an health care organization with primary practice located at 642 Danbury Rd , Ridgefield CT 06877-2719. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Athena Holdings, Llc can be contacted via phone (203) 438-8226, or through Mosier, Michael via phone (860) 751-3900.

Contact Information

Primary practice address
642 Danbury Rd Ridgefield CT 06877-2719
Phone: (203) 438-8226
Fax: (203) 438-8378
Website:
Map and Directions
Authorized official contact:
Name: Mosier, Michael
Phone: (860) 751-3900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2146C Connecticut

Profile Details

NPI number 1144663824
LBN Legal business name Athena Holdings, Llc
DBA Doing business as Laurel Ridge Health Care Center
Authorized official Mosier, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144663824 NPPES
Connecticut MEDICAID 000021262

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