Ellis Manor

LBN: Health Care Reliance Llc D/B/A Ellis Manor
Ellis Manor is an health care organization with primary practice located at 210 George St , Hartford CT 06114-2823. 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. Health Care Reliance Llc D/B/A Ellis Manor can be contacted via phone (860) 296-9166, or through Harrison, Gladys via phone (203) 250-2030.

Contact Information

Primary practice address
210 George St Hartford CT 06114-2823
Phone: (860) 296-9166
Fax: (860) 296-8020
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Gladys
Phone: (203) 250-2030

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2187C Connecticut

Profile Details

NPI number 1447253281
LBN Legal business name Health Care Reliance Llc D/B/A Ellis Manor
DBA Doing business as Ellis Manor
Authorized official Harrison, Gladys
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Aug 7th, 2008 - about 16 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 1447253281 NPPES
Connecticut MEDICAID 000010595

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