Provider Demographics
NPI:1609818236
Name:MABRI CONVALESCENT CENTER, INC.
Entity Type:Organization
Organization Name:MABRI CONVALESCENT CENTER, INC.
Other - Org Name:MERIDEN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:845 PADDOCK AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7021
Practice Address - Country:US
Practice Address - Phone:203-238-2645
Practice Address - Fax:203-238-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT899-C314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ANC771OtherOXFORD HEALTH PLANS
CT000008995Medicaid
778OtherANTHEM - COMMERCIAL
83680OtherAETNA-HMO
000007781-00OtherANTHEM - MANAGED MEDICAID
ANC771OtherOXFORD HEALTH PLANS
000007781-00OtherANTHEM - MANAGED MEDICAID
778OtherANTHEM - COMMERCIAL