Organization
HBR TRUMBULL LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
St. Joseph's Manor Rehabilitation and Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 268-6204
(203) 268-5271
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
0042
CT
311ZA0620X
Adult Care Home Facility
1690-RCH
CT
314000000X
Skilled Nursing Facility
Primary
684-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004261682
SWACCA ADULT DAYCARE
—
05
—
6841
—
CT
01
—
NO NUMBER
RES CARE PAID BY DSS-NO #
CT
Enumeration date
06/02/2006
Last updated
01/22/2024
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