Provider Demographics
NPI:1437462967
Name:AURORA SENIOR LIVING OF CROMWELL, LLC
Entity Type:Organization
Organization Name:AURORA SENIOR LIVING OF CROMWELL, LLC
Other - Org Name:AURORA SENIOR LIVING OF CROMWELL, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:KITCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-729-8406
Mailing Address - Street 1:8227 CLOVERLEAF DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1565
Mailing Address - Country:US
Mailing Address - Phone:410-729-8406
Mailing Address - Fax:
Practice Address - Street 1:385 MAIN ST
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2308
Practice Address - Country:US
Practice Address - Phone:410-729-8406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2341314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility