55 Kondracki Lane Operations LLC
Organization Active NPI Skilled Nursing Facility · Wallingford, CT
NPI 1275918443 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1275918443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 00000 (CT)
- Legal business name
- 55 KONDRACKI LANE OPERATIONS LLC
- Practice address
- 55 Kondracki LN
Wallingford, CT 06492-4951 - Phone
- (203) 265-6771
- Fax
- (203) 265-6772
- NPI assigned
- Jul 29, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT CARE LLC
Authorized official
- Name
- Michael T Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 00000 | CT | Yes |
Addresses
Primary practice location
55 Kondracki LN
Wallingford, CT 06492-4951
Mailing address
55 Kondracki LN
Wallingford, CT 06492-4951
Phone (203) 265-6771
Other names
- Quinnipiac Valley Center
Other providers in Wallingford, CT
- 35 Marc Drive Operations LLC
- A Place of Hope & Healing, LLC
- Christopher M Abildgaard
- Paul Acampora
- Marc Robert Aceto
- Stephanie Adamidis
All providers in Wallingford, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.