Active NPIIndividual provider

Robert Scandura

Home Health Aide in Wethersfield, Connecticut

NPI Number1174181408
Practice location
30 Jordan Ln Ste 3, Wethersfield, CT 06109-1278
Fax
860-436-9679
Last updated
June 2, 2019

Robert Scandura is a Home Health Aide based in Wethersfield, CT. Robert Scandura practices in Wethersfield, CT. The NPI Number for Robert Scandura is 1174181408 and holds a License No. HCA.0000139 (CT). The current practice location address for Robert Scandura is 30 Jordan Ln Ste 3, Wethersfield, CT 06109-1278 and can be reached out via phone at 860-436-9757 and via fax at 860-436-9679.

Provider Profile Details

NPI Number
1174181408
Provider Name
Robert Scandura
Provider Entity Type
Individual
Gender
Male
Address
30 Jordan Ln Ste 3, Wethersfield, CT 06109-1278
Phone Number
860-436-9757
Fax Number
860-436-9679
Primary Taxonomy
Home Health Aide · 374U00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2019
Last Update Date
June 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Jordan Ln Ste 3
Wethersfield, CT 06109-1278
Zip
06109-1278
Phone Number
860-436-9757
Fax Number
860-436-9679
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
30 Jordan Ln Ste 3
Wethersfield, CT 06109-1278
City
Wethersfield
State
CT
Zip
06109-1278
Phone Number
860-436-9757
Fax Number
860-436-9679

License Information

License Number (1)
HCA.0000139
License State (1)
CT
Taxonomy (1)
Homemaker · 376J00000X
License Number (2)
HCA.0000139
License State (2)
CT
Taxonomy (2)
Home Health Aide · 374U00000X · 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 Robert Scandura?

The NPI number of Robert Scandura is 1174181408. It was assigned on June 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Robert Scandura?

Robert Scandura is registered under the primary taxonomy Home Health Aide (code 374U00000X), licensed in CT under license number HCA.0000139.

Where does Robert Scandura practice?

The practice location is 30 Jordan Ln Ste 3, Wethersfield, CT 06109-1278. The office can be reached at 860-436-9757 (phone) or 860-436-9679 (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 1174181408 directly on the NPPES registry website.

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