Spectrum Healthcare Derby, Llc in Derby - Skilled Nursing Facility
Spectrum Healthcare Derby, Llc - NPI 1144201344
Spectrum Healthcare Derby, Llc is a Skilled Nursing Facility in Derby, Connecticut. Spectrum Healthcare Derby, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Spectrum Healthcare Derby, Llc is 1144201344. The last update date is 2008-08-12.
Spectrum Healthcare Derby, Llc's current location address is 210 Chatfield St, Derby, Connecticut. You can contact this provider via phone number 8608715454 and fax number 8608715757. The mailing address for Spectrum Healthcare Derby, Llc is 210 Chatfield St, Derby, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spectrum Healthcare Derby, Llc |
|---|---|
| Address | 210 Chatfield St, Derby, Connecticut |
| Phone Number | 8608715454 |
| Fax Number | 8608715757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Dickstein William Howard |
| Credentials | PHD |
| Telephone Number | 8608715454 |
NPI Number Detail
| NPI Number | 1144201344 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 210 Chatfield St |
|---|---|
| City | Derby |
| State | Connecticut (CT) |
| Post Code | 64181150 |
| Phone Number | 8608715454 |
| Fax Number | 8608715757 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2236 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2236 | CT | STATE LICENSE | |
| 10587 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Spectrum Healthcare Derby, Llc by the Centers for Medicare & Medicaid Services?
The Spectrum Healthcare Derby, Llc has been issued the NPI (National Provider Identifier) 1144201344, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Spectrum Healthcare Derby, Llc is geographically located?
The Spectrum Healthcare Derby, Llc is physically situated at the following location: 210 Chatfield St, Derby, CT, 64181150.
What is the Spectrum Healthcare Derby, Llc's specialty and taxonomy code?
The Spectrum Healthcare Derby, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144201344 to Spectrum Healthcare Derby, Llc?
The Centers for Medicare & Medicaid Services assigned the 1144201344 to Spectrum Healthcare Derby, Llc on 2005-11-07.
As of what date was the information regarding Spectrum Healthcare Derby, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Spectrum Healthcare Derby, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-12.
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