Organization Active NPI

Bristol Health Care, Inc.

Doing business as Bristol Health Ingraham Manor

  • Skilled Nursing Facility
  • Bristol, CT
National Provider Identifier
1174520977
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2056-C Issued in CT
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.