# 23 FAIR STREET OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT CARE LLC
- **Other names:** Village Green of Bristol Rehabilitation and Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912382185
- **Legal business name:** SUMMIT CARE LLC
- **Authorized official:** MICHAEL T BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 23 FAIR ST, BRISTOL, CT 06010-5531
- **Practice address phone:** (860) 589-2923
- **Practice address fax:** (860) 589-2924
- **Mailing address:** 23 FAIR ST, BRISTOL, CT 06010-5531
- **Mailing address phone:** (860) 589-2923
- **Mailing address fax:** (860) 589-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 00000 | CT | — |
| 314000000X | Skilled Nursing Facility | 0000 | CT | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 05/20/2016