Crestfield Rehabilitation Center & Fenwood Manor
LBN: Spectrum Healthcare Manchester, Llc
Crestfield Rehabilitation Center & Fenwood Manor is an health care organization with primary practice located at 565 Vernon St , Manchester CT 06042-2409. 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.
Spectrum Healthcare Manchester, Llc can be contacted via phone (860) 643-5151, or through Dickstein, Howard William via phone (860) 871-5454.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1014-C | Connecticut |
Profile Details
| NPI number | 1831375427 |
|---|---|
| LBN Legal business name | Spectrum Healthcare Manchester, Llc |
| DBA Doing business as | Crestfield Rehabilitation Center & Fenwood Manor |
| Authorized official | Dickstein, Howard William PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Aug 7th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831375427 | NPPES |
| Connecticut | MEDICAID | 000010140 |
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