Pilgrim Manor
LBN: Covenant Home, Inc. (Connecticut)
Pilgrim Manor is an health care organization with primary practice located at 52 Missionary Road , Cromwell CT 06416. 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.
Covenant Home, Inc. (Connecticut) can be contacted via phone (860) 635-2690, or through Malzahn, Elizabeth via phone (773) 878-4430.
Contact Information
Primary practice address
52 Missionary Road
Cromwell CT 06416
Phone: (860) 635-2690
Fax: (860) 632-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 966-C | Connecticut |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | Connecticut |
Profile Details
| NPI number | 1851497093 |
|---|---|
| LBN Legal business name | Covenant Home, Inc. (Connecticut) |
| DBA Doing business as | Pilgrim Manor |
| Authorized official | Malzahn, Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 6th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851497093 | NPPES |
| Connecticut | MEDICAID | 000007260 | |
| Connecticut | Other | 0092064 | |
| Connecticut | MEDICAID | 0092064 |
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