23 Fair Street Operations LLC
Skilled Nursing Facility in Bristol, Connecticut
1912382185- Practice location
- 23 Fair St, Bristol, CT 06010-5531
- Phone
- 860-589-2923
- Fax
- 860-589-2924
- Last updated
- May 20, 2016
23 Fair Street Operations LLC is a healthcare organization based in Bristol, CT. 23 Fair Street Operations LLC practices in Bristol, CT. The NPI Number for 23 Fair Street Operations LLC is 1912382185 and holds a License No. 00000 (CT). The current practice location address for 23 Fair Street Operations LLC is 23 Fair St, Bristol, CT 06010-5531 and can be reached out via phone at 860-589-2923 and via fax at 860-589-2924.
Provider Profile Details
- NPI Number
- 1912382185
- Provider Name
- 23 Fair Street Operations LLC
- Provider Entity Type
- Organization
- Address
- 23 Fair St, Bristol, CT 06010-5531
- Phone Number
- 860-589-2923
- Fax Number
- 860-589-2924
- 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
- Village Green Of Bristol Rehabilitation And Health Center (Doing Business As)
- Provider Enumeration Date
- July 29, 2015
- Last Update Date
- May 20, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Fair St
Bristol, CT 06010-5531 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-5531
- Phone Number
- 860-589-2923
- Fax Number
- 860-589-2924
Provider Business Mailing Address Details
- Address
- 23 Fair St
Bristol, CT 06010-5531 - City
- Bristol
- State
- CT
- Zip
- 06010-5531
- Phone Number
- 860-589-2923
- Fax Number
- 860-589-2924
License Information
- License Number (1)
- 00000
- License State (1)
- CT
- Taxonomy (1)
- Long Term Care Hospital · 282E00000X
- License Number (2)
- 0000
- License State (2)
- CT
- Taxonomy (2)
- 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 23 Fair Street Operations LLC?
The NPI number of 23 Fair Street Operations LLC is 1912382185. It was assigned on July 29, 2015 and is currently active in the NPPES registry.
What is the specialty of 23 Fair Street Operations LLC?
23 Fair Street Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 00000.
Where does 23 Fair Street Operations LLC practice?
The practice location is 23 Fair St, Bristol, CT 06010-5531. The office can be reached at 860-589-2923 (phone) or 860-589-2924 (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 1912382185 directly on the NPPES registry website.