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CHESTELM HEALTH CARE INC NPI 1982609673


NPI Information

NPI: 1982609673
Provider Name: CHESTELM HEALTH CARE, INC
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 07D0879907

Address:
534 TOWN ST
MOODUS, CT
ZIP 06469
Phone: (860) 873-1455
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CHESTELM HEALTH CARE, INC is a skilled nursing facility in Moodus, CT. The provider is (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. CHESTELM HEALTH CARE, INC NPI is 1982609673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

534 TOWN ST
MOODUS, CT
ZIP 06469-101
Phone: (860) 873-1455
Fax: (860) 873-2307

The provider's authorized official is Brenda Marinan .
The authorized official title is Administrator and has the following contact phone number (860) 873-1455.

The CLIA number assigned to this NPI record is 07D0879907 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2208100000XPhysical Medicine & RehabilitationNo
32083X0100XPreventive MedicineOccupational MedicineNo
4314000000XSkilled Nursing Facility2196-CCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000091793MEDICAIDCONNECTICUT
2075307MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE
3000010298MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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