Chestelm Health Care, Inc
Organization Active NPI Skilled Nursing Facility · Moodus, CT
NPI 1982609673 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1982609673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2196-C (CT)
- Legal business name
- CHESTELM HEALTH CARE, INC
- Practice address
- 534 Town St
Moodus, CT 06469-1101 - Phone
- (860) 873-1455
- Fax
- (860) 873-2307
- NPI assigned
- Jun 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Brenda Marinan
- Title
- Administrator
- Phone
- (860) 873-1455
Practitioners 1
-
Jason Yarbrough, RN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Occupational Medicine Physician |
2083X0100X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Skilled Nursing Facility | 314000000X | 2196-C | CT | Yes |
Addresses
Primary practice location
534 Town St
Moodus, CT 06469-1101
Mailing address
534 Town St
Moodus, CT 06469-1101
Phone (860) 873-1455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010298 | Medicaid | CT | |
| 000091793 | Medicaid | CT |
Other providers in Moodus, CT
- Elyse Laurie Barker
- Tanisha Bergeron
- Bridges Counseling and Wellness PLLC
- Katrina Casey
- Chestelm Adult Day Services Inc
- Chestelm Skilled Operations LLC
- Chestelm SNF Operations LLC
- Lisa L Conroy
- Chelsea Da Paz
- Derek Donovan
All providers in Moodus, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.