Provider Demographics
NPI:1285851998
Name:DUNCASTER INCORPORATED
Entity Type:Organization
Organization Name:DUNCASTER INCORPORATED
Other - Org Name:CALEB HITCHCOCK HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-380-5038
Mailing Address - Street 1:40 LOEFFLER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2262
Mailing Address - Country:US
Mailing Address - Phone:860-726-2000
Mailing Address - Fax:860-380-5120
Practice Address - Street 1:10 LOEFFLER RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2256
Practice Address - Country:US
Practice Address - Phone:860-726-2000
Practice Address - Fax:860-726-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1060-C314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT075301OtherMEDICARE PROVIDER NUMBER