Greentree Manor Nursing And Rehabilitation Center Inc

LBN: Greentree Manor Nursing And Rehabilitation Center Inc
Greentree Manor Nursing And Rehabilitation Center Inc is an health care organization with primary practice located at 4 Greentree Dr , Waterford CT 06385-4116. 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. Greentree Manor Nursing And Rehabilitation Center Inc can be contacted via phone (860) 442-0647, or through Kopchik, Kenneth S via phone (860) 442-0647.

Contact Information

Primary practice address
4 Greentree Dr Waterford CT 06385-4116
Fax: (860) 439-0821
Website:
Authorized official contact:
Name: Kopchik, Kenneth S

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2206C Connecticut

Profile Details

NPI number 1588650840
LBN Legal business name Greentree Manor Nursing And Rehabilitation Center Inc
DBA Doing business as
Authorized official Kopchik, Kenneth S
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jan 3rd, 2014 - about 11 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 1588650840 NPPES
Connecticut MEDICAID 000008425

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