Governor'S House Care And Rehabilitation Center

LBN: Harborside Connecticut Limited Partnership
Governor'S House Care And Rehabilitation Center is an health care organization with primary practice located at 36 Firetown Rd , Simsbury CT 06070-1965. 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. Harborside Connecticut Limited Partnership can be contacted via phone (860) 658-1018, or through Mathies, William A. via phone (505) 821-3355.

Contact Information

Primary practice address
36 Firetown Rd Simsbury CT 06070-1965
Fax: (860) 658-7250
Website:
Authorized official contact:
Name: Mathies, William A.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2200-C Connecticut

Profile Details

NPI number 1770515256
LBN Legal business name Harborside Connecticut Limited Partnership
DBA Doing business as Governor'S House Care And Rehabilitation Center
Authorized official Mathies, William A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jan 6th, 2010 - about 14 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 1770515256 NPPES
Connecticut MEDICAID 20628

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