Haven Health Center of Rocky Hill, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2260 Issued in CT

Legal business name

HAVEN HEALTH CENTER OF ROCKY HILL, LLC

Practice address

60 West St
Rocky Hill, CT 06067-3518

Phone

(860) 529-2521

Fax

(860) 721-1650

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1336108505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WEST ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673518",
            "telephone_number": "860-529-2521",
            "fax_number": "860-721-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WEST ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673518",
            "telephone_number": "860-529-2521",
            "fax_number": "860-721-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF ROCKY HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER",
            "identifier": "830",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia K Halvorson, APRN
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• Edith Hergan, M.D.

• Skilled Nursing Facility in Rocky Hill, CT
• Providers in Rocky Hill, 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 Dec 28, 2007; 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.