Provider Demographics
NPI:1326190471
Name:VETERANS HOME AND HEALTH CARE FACILITY
Entity Type:Organization
Organization Name:VETERANS HOME AND HEALTH CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMSA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:JAYARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-529-2571
Mailing Address - Street 1:287 WEST STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKYHILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067
Mailing Address - Country:US
Mailing Address - Phone:860-529-2571
Mailing Address - Fax:860-721-5965
Practice Address - Street 1:287 WEST ST
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3501
Practice Address - Country:US
Practice Address - Phone:860-529-2571
Practice Address - Fax:860-721-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT021952281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital