Active NPIOrganization

Odd Fellows Home Of Connecticut

Clinic/Center, Rehabilitation in Groton, Connecticut

NPI Number1609393909
Practice location
235 Lestertown RD, Groton, CT 06340-2808
Fax
—
Last updated
July 21, 2022

Odd Fellows Home Of Connecticut is a healthcare organization based in Groton, CT. Odd Fellows Home Of Connecticut practices in Groton, CT. The NPI Number for Odd Fellows Home Of Connecticut is 1609393909. The current practice location address for Odd Fellows Home Of Connecticut is 235 Lestertown RD, Groton, CT 06340-2808 and can be reached out via phone at 860-445-7478.

Provider Profile Details

NPI Number
1609393909
Provider Name
Odd Fellows Home Of Connecticut
Provider Entity Type
Organization
Address
235 Lestertown RD, Groton, CT 06340-2808
Phone Number
860-445-7478
Primary Taxonomy
Clinic/Center, Rehabilitation · 261QR0400X
Organization Subpart
Yes
Parent Organization
Odd Fellows Home Of Connecticut, INC.
Authorized Official
James Rosenman · Ceo · 860-445-7478
Other Names
Fairview (Doing Business As)
Fairviewfirst (Other Name)
Provider Enumeration Date
August 28, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Lestertown RD
Groton, CT 06340-2808
City
Groton
Zip
06340-2808
Phone Number
860-445-7478
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
235 Lestertown RD
Groton, CT 06340-2808
City
Groton
State
CT
Zip
06340-2808
Phone Number
860-445-7478

License Information

Taxonomy
Clinic/Center, Rehabilitation · 261QR0400X · 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 Odd Fellows Home Of Connecticut?

The NPI number of Odd Fellows Home Of Connecticut is 1609393909. It was assigned on August 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Odd Fellows Home Of Connecticut?

Odd Fellows Home Of Connecticut is registered under the primary taxonomy Clinic/Center, Rehabilitation (code 261QR0400X).

Where does Odd Fellows Home Of Connecticut practice?

The practice location is 235 Lestertown RD, Groton, CT 06340-2808. The office can be reached at 860-445-7478 (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 1609393909 directly on the NPPES registry website.

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