VERNON MANOR
NPI 1013951466
Family Medicine in Manchester, CT

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since June 16, 2006CLIA 07D0093268 · Waiver

385 W CENTER ST, MANCHESTER, CT 06040(860) 871-0385 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vernon Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERNON MANOR (NPI 1013951466) is a healthcare organization registered as a family medicine in Manchester, Connecticut and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ann Cohun, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013951466

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVERNON MANOR

Location Address385 W CENTER STManchester, CT 06040-4738

Mailing Address385 W Center StManchester, CT 06040-4738 · (860) 871-0385

Phone(860) 871-0385

Organization SubpartNo

Authorized OfficialAnn CohunOffice Manager · (860) 871-0385

Enumeration DateJune 16, 2006

Last NPPES UpdateMarch 5, 2008

✔ NPI 1013951466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 014401

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

385 W CENTER ST, Manchester, CT 06040

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Other Identifiers 1

OtherC03080CT · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0093268

Vernon Manor Snf Operations LLC Dba Vernon Rehabilitation And Health Care Center · Vernon, CT

Active · expires Aug 31, 2026

CLIA Number07D0093268

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKristi Dougherty

Laboratory Phone(860) 871-0385

Laboratory LocationVernon Manor Snf Operations LLC Dba Vernon Rehabilitation And Health Care Center180 Regan Rd, Vernon, CT 06066

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARBORS OF HOP BROOK PARTNERSHIP

Skilled Nursing Facility