NPIMap

Organization Active NPI

Hebrew Home and Hospital, Inc

  • Skilled Nursing Facility
  • West Hartford, CT
National Provider Identifier
1578544714
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2057-C Issued in CT
Legal business name
HEBREW HOME AND HOSPITAL, INC
Practice address
1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone
(860) 523-3800
Fax
(860) 523-3949
NPI assigned
Nov 6, 2005
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. David A Houle
Title
Executive Vice President & Cfo
Phone
(860) 523-3895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2057-C CT Primary

Addresses

Primary practice location

1 Abrahms Blvd
West Hartford, CT 06117-1508

Mailing address

1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone (860) 523-3800

Other identifiers 4

IdentifierTypeStateIssuer
7100170OtherCTEVERCARE
7100870OtherCTUNITED HEALTH CARE
804OtherCTANTHEM BCBS
000000927MedicaidCT

National Provider Directory

National Provider Directory

Locations

1 Abrahms Blvd
West Hartford, CT 06117
Phone (860) 218-2300

NPI Registry JSON

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

{
    "created_epoch": "1131235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1578544714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ABRAHMS BLVD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171508",
            "telephone_number": "860-523-3800",
            "fax_number": "860-523-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABRAHMS BLVD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171508",
            "telephone_number": "860-523-3800",
            "fax_number": "860-523-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBREW HOME AND HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HOULE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE  VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "860-523-3895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2057-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100170",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7100870",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "804",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000927",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.