Organization · NPI-2

Complete Care At Kimberly Hall North LLC

Skilled Nursing Facility · Windsor, CT

NPI number1821715947
StatusActive
Last updated in NPPESMay 1, 2026

Details

NPI
1821715947
Entity type
Organization (NPI-2)
Legal business name
Complete Care At Kimberly Hall North LLC
Organization subpart
No
Enumeration date
Oct 20, 2022
Certification date
May 1, 2026
Last updated
May 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

1 Emerson Dr
Windsor, CT 06095-3204

Phone 860-688-6443

Mailing address

1 Emerson Dr
Windsor, CT 06095-3204

Authorized official

Shalom Stein
Ceo
7323130880

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