Mattatuck Health Care Facility, Inc.

LBN: Mattatuck Health Care Facility, Inc.
Mattatuck Health Care Facility, Inc. is an health care organization with primary practice located at 9 Cliff St , Waterbury CT 06710-2125. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Mattatuck Health Care Facility, Inc. can be contacted via phone (203) 573-9924, or through Desena, Allen V via phone (203) 573-9924.

Contact Information

Primary practice address
9 Cliff St Waterbury CT 06710-2125
Fax: (203) 573-0201
Website:
Authorized official contact:
Name: Desena, Allen V

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 144-RH Connecticut

Profile Details

NPI number 1609863737
LBN Legal business name Mattatuck Health Care Facility, Inc.
DBA Doing business as
Authorized official Desena, Allen V
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 11th, 2014 - about 10 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 1609863737 NPPES
Connecticut MEDICAID 000091447

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