Provider Demographics
NPI:1710352737
Name:NEW BRITAIN ACQUISITION I LLC
Entity Type:Organization
Organization Name:NEW BRITAIN ACQUISITION I LLC
Other - Org Name:CASSENA CARE AT NEW BRITAIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBENEDICTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-422-7818
Mailing Address - Street 1:66 CLINIC DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-4012
Mailing Address - Country:US
Mailing Address - Phone:860-225-8608
Mailing Address - Fax:
Practice Address - Street 1:66 CLINIC DR
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-4012
Practice Address - Country:US
Practice Address - Phone:860-225-8608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT9639Medicaid
CT9639Medicaid