Organization
CHESHIRE HOUSE LLC
Active
Other names
Cheshire House Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN SBRIGLIO RN, NHA, CEO (OWNER)
(203) 381-1327
Entity
Organization
Contact information
Practice address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 756-2293
Mailing address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 756-2293
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2141C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006577
—
CT
01
—
0831560001
NSC - DMERC
CT
01
—
647
ANTHEM BC/BS CT
CT
01
—
A1298909
OXFORD - HMO CARRIER
CT
Enumeration date
09/26/2005
Last updated
04/25/2008
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