Healthcare Provider Details

I. General information

NPI: 1992890032
Provider Name (Legal Business Name): HIGHLAND VIEW MANOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 ROBERTS ST
TORRINGTON CT
06790-4744
US

IV. Provider business mailing address

255 ROBERTS STREET
TORRINGTON CT
06790
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-5801
  • Fax: 860-489-6102
Mailing address:
  • Phone: 860-489-5801
  • Fax: 860-489-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2034C
License Number StateCT

VIII. Authorized Official

Name: LAWRENCE G. SANTILLI
Title or Position: PRESIDENT/CEO
Credential:
Phone: 860-751-3900