Bennington Health and Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Bennington, VT
NPI 1063409043 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1063409043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BENNINGTON HEALTH AND REHABILITATION CENTER LLC
- Practice address
- 2 Blackberry Lane
Bennington, VT 05201-2300 - Phone
- (802) 442-8525
- Fax
- (802) 442-7225
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Carole M Scillia
- Title
- LLC Manager
- Phone
- (203) 608-6100
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Bennington Health and Rehabilitation Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0270000337 | VT | |
| Skilled Nursing Facility | 314000000X | VT | Yes |
Addresses
Primary practice location
2 Blackberry Lane
Bennington, VT 05201-2300
Mailing address
538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475027 | Medicaid | VT |
Other names
- Bennington Health and Rehabilitation Center
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All providers in Bennington, VT · Skilled Nursing Facility in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.