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PROSPECT ECHN ELDERCARE SERVICES INC. NPI 1518314020


NPI Information

NPI: 1518314020
Provider Name: PROSPECT ECHN ELDERCARE SERVICES, INC.

Other Name: WOODLAKE AT TOLLAND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 07D1005141

Address:
26 SHENIPSIT LAKE RD
TOLLAND, CT
ZIP 06084
Phone: (860) 896-3283
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PROSPECT ECHN ELDERCARE SERVICES, INC. is an assisted living facility in Tolland, CT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PROSPECT ECHN ELDERCARE SERVICES, INC. NPI is 1518314020. The provider is registered as an organization entity type.
The provider Other Name Is Woodlake At Tolland.

The provider's business location address is:

26 SHENIPSIT LAKE RD
TOLLAND, CT
ZIP 06084-332
Phone: (860) 896-3283

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The CLIA number assigned to this NPI record is 07D1005141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 1/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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