Active NPIOrganization

Shady Knoll Acquisition Operator LLC

Skilled Nursing Facility in Seymour, Connecticut

NPI Number1225875362
Practice location
41 Skokorat St, Seymour, CT 06483-3826
Fax
203-881-0853
Last updated
July 15, 2024

Shady Knoll Acquisition Operator LLC is a healthcare organization based in Seymour, CT. Shady Knoll Acquisition Operator LLC practices in Seymour, CT. The NPI Number for Shady Knoll Acquisition Operator LLC is 1225875362. The current practice location address for Shady Knoll Acquisition Operator LLC is 41 Skokorat St, Seymour, CT 06483-3826 and can be reached out via phone at 203-881-2555 and via fax at 203-881-0853.

Provider Profile Details

NPI Number
1225875362
Provider Name
Shady Knoll Acquisition Operator LLC
Provider Entity Type
Organization
Address
41 Skokorat St, Seymour, CT 06483-3826
Phone Number
203-881-2555
Fax Number
203-881-0853
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Marc Ephram Ostreicher · Managing Member · 516-705-4806
Provider Enumeration Date
July 15, 2024
Last Update Date
July 15, 2024
Certification Date
July 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Skokorat St
Seymour, CT 06483-3826
Zip
06483-3826
Phone Number
203-881-2555
Fax Number
203-881-0853
Seymour, CT 06483Get directions →

Provider Business Mailing Address Details

Address
20 E Sunrise Hwy Fl 2
Valley Stream, NY 11581-1260
City
Valley Stream
State
NY
Zip
11581-1260
Phone Number
516-705-4803

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 Shady Knoll Acquisition Operator LLC?

The NPI number of Shady Knoll Acquisition Operator LLC is 1225875362. It was assigned on July 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Shady Knoll Acquisition Operator LLC?

Shady Knoll Acquisition Operator LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Shady Knoll Acquisition Operator LLC practice?

The practice location is 41 Skokorat St, Seymour, CT 06483-3826. The office can be reached at 203-881-2555 (phone) or 203-881-0853 (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 1225875362 directly on the NPPES registry website.

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