Eden Park Of Brattleboro

LBN: Eden Park Management, Inc.
Eden Park Of Brattleboro is an health care organization with primary practice located at 187 Oak Grove Ave , Brattleboro VT 05301-6642. 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. Eden Park Management, Inc. can be contacted via phone (802) 257-0307, or through Mendleson, Jr., Alton via phone (518) 436-4731.

Contact Information

Primary practice address
187 Oak Grove Ave Brattleboro VT 05301-6642
Phone: (802) 257-0307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendleson, Jr., Alton
Phone: (518) 436-4731

Health care specialties

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

Profile Details

NPI number 1093885840
LBN Legal business name Eden Park Management, Inc.
DBA Doing business as Eden Park Of Brattleboro
Authorized official Mendleson, Jr., Alton
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1093885840 NPPES
Vermont MEDICAID 0475023

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