Mystic Manor

LBN: Mystic Healthcare & Rehabilitation Center Llc
Mystic Manor is an health care organization with primary practice located at 475 High Street , Mystic CT 06355. 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. Mystic Healthcare & Rehabilitation Center Llc can be contacted via phone (860) 536-6070, or through Sbriglio, Martin via phone (203) 381-1327.

Contact Information

Primary practice address
475 High Street Mystic CT 06355
Phone: (860) 536-6070
Fax: (860) 536-9480
Website:
Map and Directions
Authorized official contact:
Name: Sbriglio, Martin
Phone: (203) 381-1327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 839-C Connecticut

Profile Details

NPI number 1780635938
LBN Legal business name Mystic Healthcare & Rehabilitation Center Llc
DBA Doing business as Mystic Manor
Authorized official Sbriglio, Martin
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Aug 26th, 2014 - about 12 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 1780635938 NPPES
Connecticut MEDICAID 000008391

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