Active NPIOrganization

Connecticut Provider Of Home Care L.l.c.

PACE Provider Organization in Bethel, Connecticut

NPI Number1124488432
Practice location
208 Greenwood Ave, Unit 10, Bethel, CT 06801-2130
Fax
203-826-7887
Last updated
February 25, 2021

Connecticut Provider Of Home Care L.l.c. is a healthcare organization based in Bethel, CT. Connecticut Provider Of Home Care L.l.c. practices in Bethel, CT. The NPI Number for Connecticut Provider Of Home Care L.l.c. is 1124488432. The current practice location address for Connecticut Provider Of Home Care L.l.c. is 208 Greenwood Ave, Unit 10, Bethel, CT 06801-2130 and can be reached out via phone at 203-792-2273 and via fax at 203-826-7887.

Provider Profile Details

NPI Number
1124488432
Provider Name
Connecticut Provider Of Home Care L.l.c.
Provider Entity Type
Organization
Address
208 Greenwood Ave, Unit 10, Bethel, CT 06801-2130
Phone Number
203-792-2273
Fax Number
203-826-7887
Primary Taxonomy
PACE Provider Organization · 251T00000X
Organization Subpart
No
Authorized Official
Mr. Daryn Clark · Manager · 203-792-2273
Provider Enumeration Date
February 29, 2016
Last Update Date
February 25, 2021
Certification Date
February 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
208 Greenwood Ave
Unit 10
Bethel, CT 06801-2130
City
Bethel
Zip
06801-2130
Phone Number
203-792-2273
Fax Number
203-826-7887
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
208 Greenwood Ave
Unit 10
Bethel, CT 06801-2130
City
Bethel
State
CT
Zip
06801-2130
Phone Number
203-792-2273
Fax Number
203-826-7887

License Information

Taxonomy
PACE Provider Organization · 251T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Connecticut Provider Of Home Care L.l.c.?

The NPI number of Connecticut Provider Of Home Care L.l.c. is 1124488432. It was assigned on February 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Connecticut Provider Of Home Care L.l.c.?

Connecticut Provider Of Home Care L.l.c. is registered under the primary taxonomy PACE Provider Organization (code 251T00000X).

Where does Connecticut Provider Of Home Care L.l.c. practice?

The practice location is 208 Greenwood Ave, Unit 10, Bethel, CT 06801-2130. The office can be reached at 203-792-2273 (phone) or 203-826-7887 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124488432 directly on the NPPES registry website.

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