Avery Heights

LBN: Church Homes, Inc. Congregational
Avery Heights is an health care organization with primary practice located at 705 New Britain Ave , Hartford CT 06106-4039. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Church Homes, Inc. Congregational can be contacted via phone (860) 527-9126, or through Gilland, Patrick J via phone (860) 527-9126.

Contact Information

Primary practice address
705 New Britain Ave Hartford CT 06106-4039
Phone: (860) 527-9126
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilland, Patrick J
Phone: (860) 527-9126

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 79RH Connecticut
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 750-C Connecticut

Profile Details

NPI number 1285628594
LBN Legal business name Church Homes, Inc. Congregational
DBA Doing business as Avery Heights
Authorized official Gilland, Patrick J
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2005
Last updated Jan 11th, 2008 - about 16 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 1285628594 NPPES
Connecticut MEDICAID 7500
Connecticut MEDICAID 90795

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