Provider Demographics
NPI:1487702239
Name:UNITED HEALTH GROUP
Entity type:Organization
Organization Name:UNITED HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BRANCIFORTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:860-748-8382
Mailing Address - Street 1:450 COLUMBUS BLVD
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1801
Mailing Address - Country:US
Mailing Address - Phone:860-748-8382
Mailing Address - Fax:
Practice Address - Street 1:450 COLUMBUS BLVD
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-1801
Practice Address - Country:US
Practice Address - Phone:860-748-8382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT564432Medicare UPIN