<Unavail>

LBN: 915 Ella T Grasso Boulevard Operations Llc
<Unavail> is an health care organization with primary practice located at 915 Ella T Grasso Blvd , New Haven CT 06519-5516. 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. 915 Ella T Grasso Boulevard Operations Llc can be contacted via phone (203) 865-5155, or through Wilkinson, Marcella via phone (610) 925-4045.

Contact Information

Primary practice address
915 Ella T Grasso Blvd New Haven CT 06519-5516
Phone: (203) 865-5155
Fax: (203) 865-5799
Website:
Map and Directions
Authorized official contact:
Name: Wilkinson, Marcella
Phone: (610) 925-4045

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2254 Connecticut

Profile Details

NPI number 1760633366
LBN Legal business name 915 Ella T Grasso Boulevard Operations Llc
DBA Doing business as <Unavail>
Authorized official Wilkinson, Marcella
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Jun 5th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760633366 NPPES
Connecticut MEDICAID 000020496

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