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NPI Code Detail

MEDICARE: HARTFORD HEALTHCARE SENIOR SERVICES, INC.

MEDICARE: HARTFORD HEALTHCARE SENIOR SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2060-CCT
2314000000XSkilled Nursing FacilityCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1274OTHERBCBS OF CT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265431647
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARTFORD HEALTHCARE SENIOR SERVICES, INC.
Provider Business Mailing Address
First Line : 45 MERIDEN AVENUE
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-3214
Country : US
Telephone Number : 860-378-1223
Fax Number : 860-863-5723
Provider Business Practice Location Address
First Line : 45 MERIDEN AVENUE
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-3214
Country : US
Telephone Number : 860-378-1223
Fax Number : 860-863-5723
Authorized Official
Title or Position : EXECUTIVE DIRECTOR / DIRECTOR
Name : STEPHEN BARRETT
Credential :
Telephone Number : 860-621-9559
Provider Enumeration Date : 07/19/2005
Last Update Date : 09/12/2022

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