Countryside Manor Of Bristol

LBN: Bristol Cch Group, Llc
Countryside Manor Of Bristol is an health care organization with primary practice located at 1660 Stafford Ave , Bristol CT 06010-2571. 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. Bristol Cch Group, Llc can be contacted via phone (860) 583-8483, or through Mosier, Michael via phone (860) 751-3900.

Contact Information

Primary practice address
1660 Stafford Ave Bristol CT 06010-2571
Phone: (860) 583-8483
Fax: (860) 585-7913
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 2285C Connecticut

Profile Details

NPI number 1417390196
LBN Legal business name Bristol Cch Group, Llc
DBA Doing business as Countryside Manor Of Bristol
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 1417390196 NPPES
Connecticut MEDICAID 000021303

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