Healthcare Provider Details

I. General information

NPI: 1649138074
Provider Name (Legal Business Name): PETITE FLEUR NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MAIN ST
WINDSOR LOCKS CT
06096-2307
US

IV. Provider business mailing address

14 MAIN ST
WINDSOR LOCKS CT
06096-2307
US

V. Phone/Fax

Practice location:
  • Phone: 631-987-2912
  • Fax:
Mailing address:
  • Phone: 631-987-2912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BARTOLOTTA
Title or Position: CEO-MEMBER
Credential:
Phone: 631-987-2912