Organization Active NPI

West Hartford Health & Rehabilitation Center

  • Skilled Nursing Facility
  • West Hartford, CT
National Provider Identifier
1124174131
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1015C Issued in CT
Legal business name
WEST HARTFORD HEALTH & REHABILITATION CENTER
Practice address
130 Loomis Dr
West Hartford, CT 06107-2037
Phone
(860) 521-8700
Fax
(860) 313-5464
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theresa Sanderson
Title
Administrator
Phone
(860) 521-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1015C CT Primary

Addresses

Primary practice location

130 Loomis Dr
West Hartford, CT 06107-2037

Mailing address

130 Loomis Dr
West Hartford, CT 06107-2037
Phone (860) 521-8700

Other identifiers 2

IdentifierTypeStateIssuer
000009738MedicaidCT
825OtherCTBLUE CROSS PROVIDER NUMBE

National Provider Directory

National Provider Directory
Tax ID family
Brookview Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1124174131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LOOMIS DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072037",
            "telephone_number": "860-521-8700",
            "fax_number": "860-313-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOOMIS DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072037",
            "telephone_number": "860-521-8700",
            "fax_number": "860-313-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD HEALTH & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-521-8700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1015C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009738",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "825",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.