Pendleton SNF Operations LLC

Skilled Nursing Facility · Mystic, CT

Organization Active NPI

NPI number 1487374740

Practice location

44 Maritime Dr
Mystic, CT 06355-1958
Phone
(860) 572-1700

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NPI record

NPI
1487374740
Entity type
Organization (Type 2)
Enumeration date
August 29, 2022
Last updated
September 21, 2022
Certified
September 21, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Pinchos Bak
Title
Authorized Representative
Phone
(908) 783-3110

About Pendleton SNF Operations LLC

Pendleton SNF Operations LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 44 Maritime Dr, Mystic, CT 06355-1958. The NPI number 1487374740 was assigned on August 29, 2022 and the record was last updated on September 21, 2022.

The authorized official for this organization is Pinchos Bak, Authorized Representative.

Frequently asked questions

What is the NPI number of Pendleton SNF Operations LLC?

The NPI number is 1487374740.

What is the phone number of Pendleton SNF Operations LLC?

The phone number listed for the practice location is (860) 572-1700.

Where is Pendleton SNF Operations LLC located?

44 Maritime Dr, Mystic, CT 06355-1958.

What is the taxonomy code for Pendleton SNF Operations LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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