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
Fax: (860) 688-1259
Website:
Authorized official contact:
Name: Dropeskey, Jane

Health care specialties

SpecialtyCodeLicense #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 6 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 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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