Oakcliff Convalescent Home

LBN: Oakcliff Convalescent Home
Oakcliff Convalescent Home is an health care organization with primary practice located at 71 Plaza Ave , Waterbury CT 06710-1504. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Oakcliff Convalescent Home can be contacted via phone (203) 753-0060, or through Cruess, Raymond T. via phone (203) 753-0060.

Contact Information

Primary practice address
71 Plaza Ave Waterbury CT 06710-1504
Fax: (203) 755-9406
Website:
Authorized official contact:
Name: Cruess, Raymond T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 1688 Connecticut
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3806 Connecticut

Profile Details

NPI number 1740497858
LBN Legal business name Oakcliff Convalescent Home
DBA Doing business as
Authorized official Cruess, Raymond T.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1740497858 NPPES
Connecticut MEDICAID 3806

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