1982879367 NPI number — THE CONNECTICUT HOSPICE, INC.

Table of content: MATTHEW JOHN GARBERINA M.D. (NPI 1659367100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982879367 NPI number — THE CONNECTICUT HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CONNECTICUT HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982879367
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 DOUBLE BEACH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRANFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06405-4909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-315-7500
Provider Business Mailing Address Fax Number:
203-315-7614

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 DOUBLE BEACH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRANFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06405-4909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-315-7500
Provider Business Practice Location Address Fax Number:
203-315-7614
Provider Enumeration Date:
04/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GILHULY
Authorized Official First Name:
MARY
Authorized Official Middle Name:
ROSE
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
203-315-7633

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 008004671 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com