Active NPI
Bristol Health Care, Inc.
Doing business as Bristol Health Ingraham Manor
- Skilled Nursing Facility
- Bristol, CT
National Provider Identifier
1174520977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2056-C
- Legal business name
- BRISTOL HEALTH CARE, INC.
- Doing business as
- Bristol Health Ingraham Manor
- Practice address
- 400 N Main St
Bristol, CT 06010-4923 - Phone
- (860) 584-3410
- Fax
- (860) 589-8686
- NPI assigned
- Jul 7, 2005
- Last updated
- Mar 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Soyka
- Title
- Administrator
- Phone
- (860) 584-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2056-C | CT | Primary |
Addresses
Primary practice location
400 N Main St
Bristol, CT 06010-4923
Mailing address
400 N Main St
Bristol, CT 06010-4923
Phone (860) 584-3410
Other names 1
- BRISTOL HEALTH INGRAHAM MANOR
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Plainville, CT
- NPI 1881680775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1174520977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104923",
"telephone_number": "860-584-3410",
"fax_number": "860-589-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104923",
"telephone_number": "860-584-3410",
"fax_number": "860-589-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRISTOL HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "SOYKA",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "860-584-3411"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2056-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRISTOL HEALTH INGRAHAM MANOR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bristol, CT
- Bristol Crossings LLC
- Bristol Dental Surgery
- Bristol Endodontics PC
- Bristol Family Dental, PC (Next Generation Dental)
- Bristol Gastroenterology Associates, P.C.
- Bristol Health Pharmacy, LLC
- Bristol Hearing AIDS, LLC
- Bristol Home Care and Hospice Agency Inc
- Bristol Home Care and Hospice Agency Inc
- Bristol Hospital Clinicians, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.