Chesterfields LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2135-C Issued in CT

Legal business name

CHESTERFIELDS LTD.

Practice address

132 Main St
Chester, CT 06412-1340

Phone

(860) 526-5363

Fax

(860) 526-1015

NPI assigned

Nov 6, 2006

Last updated

Jan 10, 2012By 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

Mr. Mark Hambley

Title

Cfo

Phone

(860) 678-9755

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1295814457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121340",
            "telephone_number": "860-526-5363",
            "fax_number": "860-526-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121340",
            "telephone_number": "860-526-5363",
            "fax_number": "860-526-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "HAMBLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-678-9755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2135-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000006338",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Francis Bouchard
• Jessica Dominique Bruce, DMD
• Ann Marie Burton, COTA/L
• Chester Board of Education
• Chester Hose Company Incorporated
• Eryka Clayton, CNS, MS
• Rosemarie G Cole, APRN
• Deborah Dembo Aprn, LLC
• Rebecca Lynn Degnan, LPC
• Pamela Gordon Dupont, M.S., CCC-A

• Skilled Nursing Facility in Chester, CT
• Providers in Chester, 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 Jan 10, 2012; 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.