Kettle Brook Care Center Llc

LBN: Kettle Brook Care Center Llc
Kettle Brook Care Center Llc is an health care organization with primary practice located at 96 Prospect Hill Rd , East Windsor CT 06088-9668. 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. Kettle Brook Care Center Llc can be contacted via phone (860) 623-9846, or through Wright, Christopher S via phone (860) 570-2140.

Contact Information

Primary practice address
96 Prospect Hill Rd East Windsor CT 06088-9668
Fax: (860) 292-1887
Website:
Authorized official contact:
Name: Wright, Christopher S

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2219-C Connecticut

Profile Details

NPI number 1801954219
LBN Legal business name Kettle Brook Care Center Llc
DBA Doing business as
Authorized official Wright, Christopher S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Sep 3rd, 2020 - about 4 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 1801954219 NPPES
Connecticut MEDICAID 000009530
Connecticut Other 684

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