Active NPIOrganization

4 Hazel Avenue Operations LLC

Skilled Nursing Facility in Naugatuck, Connecticut

NPI Number1427239946
Practice location
4 Hazel Ave, Naugatuck, CT 06770-4706
Fax
203-723-0242
Last updated
November 6, 2020

4 Hazel Avenue Operations LLC is a healthcare organization based in Naugatuck, CT. 4 Hazel Avenue Operations LLC practices in Naugatuck, CT. The NPI Number for 4 Hazel Avenue Operations LLC is 1427239946 and holds a License No. 2371 (CT). The current practice location address for 4 Hazel Avenue Operations LLC is 4 Hazel Ave, Naugatuck, CT 06770-4706 and can be reached out via phone at 203-723-1456 and via fax at 203-723-0242.

Provider Profile Details

NPI Number
1427239946
Provider Name
4 Hazel Avenue Operations LLC
Provider Entity Type
Organization
Address
4 Hazel Ave, Naugatuck, CT 06770-4706
Phone Number
203-723-1456
Fax Number
203-723-0242
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Michael T Berg · Corp Officer · 505-468-4742
Other Names
Glendale Center (Doing Business As)
Provider Enumeration Date
November 27, 2007
Last Update Date
November 6, 2020
Certification Date
November 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Hazel Ave
Naugatuck, CT 06770-4706
Zip
06770-4706
Phone Number
203-723-1456
Fax Number
203-723-0242
Naugatuck, CT 06770Get directions →

Provider Business Mailing Address Details

Address
101 E State St
Kennett Square, PA 19348-3109
City
Kennett Square
State
PA
Zip
19348-3109
Phone Number
610-925-4436
Fax Number
610-925-4351

License Information

License Number
2371
License State
CT
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 4 Hazel Avenue Operations LLC?

The NPI number of 4 Hazel Avenue Operations LLC is 1427239946. It was assigned on November 27, 2007 and is currently active in the NPPES registry.

What is the specialty of 4 Hazel Avenue Operations LLC?

4 Hazel Avenue Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 2371.

Where does 4 Hazel Avenue Operations LLC practice?

The practice location is 4 Hazel Ave, Naugatuck, CT 06770-4706. The office can be reached at 203-723-1456 (phone) or 203-723-0242 (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 1427239946 directly on the NPPES registry website.

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