Manchester Health Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1014C Issued in CT

Legal business name

MANCHESTER HEALTH CENTER, INC

Doing business as

Crestfield Rehabilitation & Fenwood Manor

Practice address

565 Vernon St
Manchester, CT 06042-2409

Phone

(860) 643-5151

Fax

(860) 643-3608

NPI assigned

Aug 13, 2006

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

Mr. Rolland Castleman

Title

President

Phone

(860) 643-5151

Specialties & licenses 1

Addresses

Other names 1

• Crestfield Rehabilitation & Fenwood Manor Doing business as

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336151547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 VERNON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422409",
            "telephone_number": "860-643-5151",
            "fax_number": "860-643-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 VERNON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422409",
            "telephone_number": "860-643-5151",
            "fax_number": "860-643-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTLEMAN",
        "authorized_official_first_name": "ROLLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-643-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1014C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestfield Rehabilitation & Fenwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Malz
• Faye F Mamaghani, D.M.D.
• Manchester CT SNF LLC (Crestfield Rehabilitation Center & Fenwood Manor)
• Manchester Dental Arts LLC
• Manchester Family Dental LLC
• Manchester Health Department
• Manchester Home Care LLC
• Manchester Manor SNF Operations LLC
• Manchester Medical Associates PC
• Manchester Medical Associates, PC

• Skilled Nursing Facility in Manchester, CT
• Providers in Manchester, 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.