Pendleton Health And Rehabilitation Center

LBN: Ssc Mystic Operating Company Llc
Pendleton Health And Rehabilitation Center is an health care organization with primary practice located at 44 Maritime Dr , Mystic CT 06355-1958. 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. Ssc Mystic Operating Company Llc can be contacted via phone (860) 572-1700, or through Santoro, Kelle C via phone (832) 467-5728.

Contact Information

Primary practice address
44 Maritime Dr Mystic CT 06355-1958
Phone: (860) 572-1700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santoro, Kelle C
Phone: (832) 467-5728

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2309 Connecticut

Profile Details

NPI number 1366563561
LBN Legal business name Ssc Mystic Operating Company Llc
DBA Doing business as Pendleton Health And Rehabilitation Center
Authorized official Santoro, Kelle C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Nov 16th, 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 1366563561 NPPES
Connecticut MEDICAID 000020694

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