Active NPI
Genesis Health Ventures of Bloomfield, Inc
- Skilled Nursing Facility
- Windsor, CT
National Provider Identifier
1235179557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1076-C
- Legal business name
- GENESIS HEALTH VENTURES OF BLOOMFIELD, INC
- Doing business as
- Kimberly Hall North
- Practice address
- 1 Emerson Dr
Windsor, CT 06095-3204 - Phone
- (860) 688-6443
- Fax
- (860) 688-5230
- NPI assigned
- Jun 7, 2006
- 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
- Jane Dropeskey
- Title
- Corporate Manager
- Phone
- (610) 925-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1076-C | CT | Primary |
Addresses
Primary practice location
1 Emerson Dr
Windsor, CT 06095-3204
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010769 | Medicaid | CT | |
| 177442 | Other | AETNA-HMO | |
| 0707448 | Other | CIGNA-CT | |
| 769502 | Other | CONNECTICARE-HOSPICE ONLY |
Other names 1
- Kimberly Hall North
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Health Ventures of Bloomfield Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Windsor, CT
- NPI 1497148944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1235179557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMERSON DR",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953204",
"telephone_number": "860-688-6443",
"fax_number": "860-688-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH VENTURES OF BLOOMFIELD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "DROPESKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "CORPORATE MANAGER",
"authorized_official_telephone_number": "610-925-4231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "1076-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000010769",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "177442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-CT",
"identifier": "0707448",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE-HOSPICE ONLY",
"identifier": "769502",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kimberly Hall North",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.