Vernon Manor Health Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

991-C Issued in CT

Legal business name

VERNON MANOR HEALTH CARE CENTER, LLC

Practice address

180 Regan Rd
Vernon, CT 06066-2824

Phone

(860) 671-0385

Fax

(860) 871-9098

NPI assigned

Nov 14, 2005

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

Karen Schilling

Title

Controller

Phone

(860) 647-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831171156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W CENTER ST",
            "address_2": "CARRIAGE HOUSE BUSINESS OFFICE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404738",
            "telephone_number": "860-647-7828",
            "fax_number": "860-645-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 REGAN RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662824",
            "telephone_number": "860-671-0385",
            "fax_number": "860-871-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MANOR HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "860-647-7828"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "991-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9910",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Anne Valley-Ortyl
• Jennifer Vanveen
• Charles A Vassilopoulos, PH. D.
• Vcare Family Practice, LLC (Shifa Clinic)
• Vernon Family Dentists
• Vernon Manor SNF Operations LLC
• Vernon Public Schools
• Vernon Urgent Care Center, LLC
• Sabitha Vignesh, MD
• Debra Ann Vinick, PAC

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