55 Kondracki Lane Operations LLC
Skilled Nursing Facility in Wallingford, Connecticut
1275918443- Practice location
- 55 Kondracki Ln, Wallingford, CT 06492-4951
- Phone
- 203-265-6771
- Fax
- 203-265-6772
- Last updated
- September 21, 2020
55 Kondracki Lane Operations LLC is a healthcare organization based in Wallingford, CT. 55 Kondracki Lane Operations LLC practices in Wallingford, CT. The NPI Number for 55 Kondracki Lane Operations LLC is 1275918443 and holds a License No. 00000 (CT). The current practice location address for 55 Kondracki Lane Operations LLC is 55 Kondracki Ln, Wallingford, CT 06492-4951 and can be reached out via phone at 203-265-6771 and via fax at 203-265-6772.
Provider Profile Details
- NPI Number
- 1275918443
- Provider Name
- 55 Kondracki Lane Operations LLC
- Provider Entity Type
- Organization
- Address
- 55 Kondracki Ln, Wallingford, CT 06492-4951
- Phone Number
- 203-265-6771
- Fax Number
- 203-265-6772
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Summit Care LLC
- Authorized Official
- Michael T Berg · Assistant Secretary · 505-468-4742
- Other Names
- Quinnipiac Valley Center (Doing Business As)
- Provider Enumeration Date
- July 29, 2015
- Last Update Date
- September 21, 2020
- Certification Date
- September 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Kondracki Ln
Wallingford, CT 06492-4951 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-4951
- Phone Number
- 203-265-6771
- Fax Number
- 203-265-6772
Provider Business Mailing Address Details
- Address
- 55 Kondracki Ln
Wallingford, CT 06492-4951 - City
- Wallingford
- State
- CT
- Zip
- 06492-4951
- Phone Number
- 203-265-6771
- Fax Number
- 203-265-6772
License Information
- License Number
- 00000
- License State
- CT
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 55 Kondracki Lane Operations LLC?
The NPI number of 55 Kondracki Lane Operations LLC is 1275918443. It was assigned on July 29, 2015 and is currently active in the NPPES registry.
What is the specialty of 55 Kondracki Lane Operations LLC?
55 Kondracki Lane Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 00000.
Where does 55 Kondracki Lane Operations LLC practice?
The practice location is 55 Kondracki Ln, Wallingford, CT 06492-4951. The office can be reached at 203-265-6771 (phone) or 203-265-6772 (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 1275918443 directly on the NPPES registry website.