Organization
CHURCH HOME OF HARTFORD, INC.
Active
Other names
Seabury Visiting Nurses
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE SURRETT RN (ADMINISTRATOR)
(860) 243-4022
Entity
Organization
Contact information
Practice address
200 SEABURY DR, BLOOMFIELD, CT 06002-2650
(860) 243-6077
(860) 286-5404
Mailing address
222 WINTONBURY AVE, BLOOMFIELD, CT 06002-1954
(860) 243-6077
(860) 286-5404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C15911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004204707
—
CT
01
—
1595132
AETNA
CT
01
—
2538382
UNITED HEALTH CARE
CT
01
—
36A
BLUE CROSS BLUE SHIELD
—
01
—
793501
CONNECTICARE
DC
01
—
A4341620
OXFORD
CT
Enumeration date
05/01/2006
Last updated
09/13/2019
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