Provider Demographics
NPI:1518060110
Name:ROBERT C. GEER MEMORIAL HOSPITAL, INC
Entity Type:Organization
Organization Name:ROBERT C. GEER MEMORIAL HOSPITAL, INC
Other - Org Name:GEER NURSING & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:CIMINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-824-3821
Mailing Address - Street 1:PO BOX 819
Mailing Address - Street 2:99 SOUTH CANAAN ROAD
Mailing Address - City:CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06018-0819
Mailing Address - Country:US
Mailing Address - Phone:860-824-5137
Mailing Address - Fax:860-824-1474
Practice Address - Street 1:99 SOUTH CANAAN ROAD
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06018-0819
Practice Address - Country:US
Practice Address - Phone:860-824-5137
Practice Address - Fax:860-824-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT843 C314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000008433Medicaid
NY00318016Medicaid
NY00318016Medicaid