Chestelm SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHESTELM SNF OPERATIONS LLC

Practice address

534 Town St
Moodus, CT 06469-1101

Phone

(860) 873-1455

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By 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

Pinchos Bak

Title

President

Phone

(908) 783-3110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1760108633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101",
            "telephone_number": "860-873-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101",
            "telephone_number": "860-873-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTELM SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "PINCHOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-783-3110"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Counseling and Wellness PLLC
• Katrina Casey
• Chestelm Adult Day Services Inc (Chestelm Adult Day Services)
• Chestelm Health Care, Inc
• Chestelm Skilled Operations LLC
• Lisa L Conroy, ATC, LAT
• Chelsea Da Paz
• Derek Donovan, PA-C
• East Haddam Board of Education
• East Haddam Dental Associates PC

• Skilled Nursing Facility in Moodus, CT
• Providers in Moodus, 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 Oct 12, 2022; 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.