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NPI Code Detail

MEDICARE: GENESIS HEALTH VENTURES OF BLOOMFIELD, INC

MEDICARE: GENESIS HEALTH VENTURES OF BLOOMFIELD, 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 Facility1076-CCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2177442OTHERAETNA-HMO
30707448OTHERCIGNA-CT
4769502OTHERCONNECTICARE-HOSPICE ONLY

General Provider Information

NPI Number : 1235179557
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS HEALTH VENTURES OF BLOOMFIELD, INC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4351
Provider Business Practice Location Address
First Line : 1 EMERSON DR
Second Line :
City : WINDSOR
State : CT
Zip : 06095-3204
Country : US
Telephone Number : 860-688-6443
Fax Number : 860-688-5230
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4231
Provider Enumeration Date : 06/07/2006
Last Update Date : 06/21/2018

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Directions to “GENESIS HEALTH VENTURES OF BLOOMFIELD, INC ” Practice Location

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