Organization
GENESIS HEALTH VENTURES OF BLOOMFIELD, INC
Active
Other names
Kimberly Hall South
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 688-6443
(860) 688-1259
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1075-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010751
—
CT
01
—
000010751-00
ANTHEM-MANAGED MEDICAID
—
01
—
177442
AETNA-HMO
—
01
—
1890603
CIGNA-CT
—
01
—
718
ANTHEM-COMMERCIAL
—
01
—
939502
CONNECTICARE
—
01
—
A950621
OXFORD HEALTH PLANS
—
Enumeration date
06/22/2006
Last updated
06/21/2018
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