240 Church Street Operating Company II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2284 Issued in CT

Legal business name

240 CHURCH STREET OPERATING COMPANY II LLC

Doing business as

Newington Health Care Center

Practice address

240 Church St
Newington, CT 06111-4806

Phone

(860) 667-2256

Fax

(860) 667-6367

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Breslin

Title

Executive VP

Phone

(201) 242-4004

Specialties & licenses 1

Addresses

Other names 1

• Newington Health Care Center Doing business as

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255339198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CHURCH ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114806",
            "telephone_number": "860-667-2256",
            "fax_number": "860-667-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CHURCH ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114806",
            "telephone_number": "860-667-2256",
            "fax_number": "860-667-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "240 CHURCH STREET OPERATING COMPANY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "201-242-4004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newington Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Newington, CT
• Providers in Newington, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.