Active NPIOrganization

581 Poquonock Avenue Opco LLC

Skilled Nursing Facility in Windsor, Connecticut

NPI Number1093524613
Practice location
581 Poquonock Ave, Windsor, CT 06095-2202
Fax
—
Last updated
January 7, 2025

581 Poquonock Avenue Opco LLC is a healthcare organization based in Windsor, CT. 581 Poquonock Avenue Opco LLC practices in Windsor, CT. The NPI Number for 581 Poquonock Avenue Opco LLC is 1093524613. The current practice location address for 581 Poquonock Avenue Opco LLC is 581 Poquonock Ave, Windsor, CT 06095-2202 and can be reached out via phone at 860-688-7211.

Provider Profile Details

NPI Number
1093524613
Provider Name
581 Poquonock Avenue Opco LLC
Provider Entity Type
Organization
Address
581 Poquonock Ave, Windsor, CT 06095-2202
Phone Number
860-688-7211
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Sam Stern · Cfo · 877-567-0402
Provider Enumeration Date
January 7, 2025
Last Update Date
January 7, 2025
Certification Date
January 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
581 Poquonock Ave
Windsor, CT 06095-2202
Zip
06095-2202
Phone Number
860-688-7211
Windsor, CT 06095Get directions →

Provider Business Mailing Address Details

Address
14C 53RD St
Brooklyn, NY 11232-2646
City
Brooklyn
State
NY
Zip
11232-2646
Phone Number
877-567-0402

License Information

Taxonomy (2)
Skilled Nursing Facility · 314000000X · Primary
Taxonomy (3)
Respite Care · 385H00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 581 Poquonock Avenue Opco LLC?

The NPI number of 581 Poquonock Avenue Opco LLC is 1093524613. It was assigned on January 7, 2025 and is currently active in the NPPES registry.

What is the specialty of 581 Poquonock Avenue Opco LLC?

581 Poquonock Avenue Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 581 Poquonock Avenue Opco LLC practice?

The practice location is 581 Poquonock Ave, Windsor, CT 06095-2202. The office can be reached at 860-688-7211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093524613 directly on the NPPES registry website.

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