Active NPIOrganization

Echn Johnson Evergreen Corporation

Skilled Nursing Facility in Stafford Springs, Connecticut

NPI Number1114165511
Practice location
205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
Fax
860-684-8717
Last updated
January 23, 2009

Echn Johnson Evergreen Corporation is a healthcare organization based in Stafford Springs, CT. Echn Johnson Evergreen Corporation practices in Stafford Springs, CT. The NPI Number for Echn Johnson Evergreen Corporation is 1114165511. The current practice location address for Echn Johnson Evergreen Corporation is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005 and can be reached out via phone at 860-684-6341 and via fax at 860-684-8717.

Provider Profile Details

NPI Number
1114165511
Provider Name
Echn Johnson Evergreen Corporation
Provider Entity Type
Organization
Address
205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
Phone Number
860-684-6341
Fax Number
860-684-8717
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Kevin Murphy · Ceo · 860-533-2925
Provider Enumeration Date
January 23, 2009
Last Update Date
January 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 Chestnut Hill RD
Stafford Springs, CT 06076-4005
Zip
06076-4005
Phone Number
860-684-6341
Fax Number
860-684-8717
Stafford Springs, CT 06076Get directions →

Provider Business Mailing Address Details

Address
320 Main St
Manchester, CT 06040-4144
City
Manchester
State
CT
Zip
06040-4144
Phone Number
860-646-1222
Fax Number
860-647-6801

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

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 Echn Johnson Evergreen Corporation?

The NPI number of Echn Johnson Evergreen Corporation is 1114165511. It was assigned on January 23, 2009 and is currently active in the NPPES registry.

What is the specialty of Echn Johnson Evergreen Corporation?

Echn Johnson Evergreen Corporation is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Echn Johnson Evergreen Corporation practice?

The practice location is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005. The office can be reached at 860-684-6341 (phone) or 860-684-8717 (fax).

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 1114165511 directly on the NPPES registry website.

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