HEALTH RESOURCES OF GROTON, INC.
Assisted Living Facility
Groton, Connecticut
Provider NPI: 1366499568
Organization Information:Organization Name: HEALTH RESOURCES OF GROTON, INC.
Practice Location:
1145 POQUONNOCK RD GROTON, CT 06340 US
Tel: 860-446-9960 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1145 POQUONNOCK RD GROTON, CT 06340 US
Tel: 860-446-9960 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CT | 1837-RCH |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CT | 2170-C |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000020355 | CT | 05 | |
ANTHEM-MANAGED MEDICAID | 000220351-00 | CT | 01 |
AETNA-HMO | 2131205 | 01 | |
ANTHEM-COMMERCIAL | 732 | CT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin