Organization
CHURCH HOME OF HARTFORD, INC
Active
Parent organization
CHURCH HOME OF HARTFORD, INC
Other names
Seabury
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHURCH HOME OF HARTFORD, INC
Authorized official
SHERI ANN KNOWLTON (SR. ACCOUNTANT)
(860) 243-6029
Entity
Organization
Contact information
Practice address
200 SEABURY DRIVE, BLOOMFIELD, CT 06002-2650
(860) 286-0243
(860) 242-4552
Mailing address
200 SEABURY DRIVE, BLOOMFIELD, CT 06002-2650
(860) 286-0243
(860) 242-4552
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2103C
CT
376G00000X
Nursing Home Administrator
001308
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021030
—
CT
Enumeration date
04/21/2006
Last updated
01/22/2020
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