Kimberly Hall South
LBN: Genesis Health Ventures Of Bloomfield, Inc
Kimberly Hall South is an health care organization with primary practice located at 1 Emerson Dr , Windsor CT 06095-3204. 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.
Genesis Health Ventures Of Bloomfield, Inc can be contacted via phone (860) 688-6443, or through Dropeskey, Jane via phone (610) 925-4231.
Contact Information
Primary practice address
1 Emerson Dr
Windsor CT 06095-3204
Phone: (860) 688-6443
Fax: (860) 688-1259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1075-C | Connecticut |
Profile Details
| NPI number | 1104862507 |
|---|---|
| LBN Legal business name | Genesis Health Ventures Of Bloomfield, Inc |
| DBA Doing business as | Kimberly Hall South |
| Authorized official | Dropeskey, Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jun 21st, 2018 - about 7 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 | 1104862507 | NPPES |
| Other | 939502 | CONNECTICARE | |
| MEDICAID | 000010751 | CONNECTICARE | |
| Other | 000010751-00 | CONNECTICARE | |
| Other | 1890603 | CONNECTICARE | |
| Other | A950621 | CONNECTICARE | |
| Other | 718 | CONNECTICARE | |
| Other | 177442 | CONNECTICARE |
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