Crestfield Rehabilitation Center & Fenwood Manor

LBN: Manchester Ct Snf 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. Manchester Ct Snf Llc can be contacted via phone (860) 643-5151, or through Santilli, Lawrence G. via phone (860) 751-3900.

Contact Information

Primary practice address
565 Vernon St Manchester CT 06042-2409
Phone: (860) 643-5151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santilli, Lawrence G.
Phone: (860) 751-3900

Health care specialties

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

Profile Details

NPI number 1578030441
LBN Legal business name Manchester Ct Snf Llc
DBA Doing business as Crestfield Rehabilitation Center & Fenwood Manor
Authorized official Santilli, Lawrence G.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2018
Last updated Feb 17th, 2023 - about 3 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 1578030441 NPPES
Connecticut MEDICAID 000010140

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