HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR INCORPORATED
Assisted Living Facility
Enfield, Connecticut
Provider NPI: 1427049899
Organization Information:Organization Name: HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR INCORPORATED
Practice Location:
1365 ENFIELD STREET ENFIELD, CT 06082 US
Tel: 860-741-0791 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:
1365 ENFIELD STREET ENFIELD, CT 06082 US
Tel: 860-741-0791 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CT | 1678 RCH |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CT | 901C |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000009019 | CT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin