Tavares Campbell
Homemaker in Southington, Connecticut
1518743178- Practice location
- 89 Rochela Dr, Southington, CT 06489-4670
- Phone
- 860-781-1973
- Fax
- —
- Last updated
- September 7, 2023
Tavares Campbell is a Homemaker based in Southington, CT. Tavares Campbell practices in Southington, CT. The NPI Number for Tavares Campbell is 1518743178 and holds a License No. 0002272 (CT). The current practice location address for Tavares Campbell is 89 Rochela Dr, Southington, CT 06489-4670 and can be reached out via phone at 860-781-1973.
Provider Profile Details
- NPI Number
- 1518743178
- Provider Name
- Tavares Campbell
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 89 Rochela Dr, Southington, CT 06489-4670
- Phone Number
- 860-781-1973
- Primary Taxonomy
- Homemaker · 376J00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 7, 2023
- Last Update Date
- September 7, 2023
- Certification Date
- September 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89 Rochela Dr
Southington, CT 06489-4670 - City
- Southington
- State
- Connecticut
- Zip
- 06489-4670
- Phone Number
- 860-781-1973
Provider Business Mailing Address Details
- Address
- 89 Rochela Dr
Southington, CT 06489-4670 - City
- Southington
- State
- CT
- Zip
- 06489-4670
- Phone Number
- 860-781-1973
License Information
- License Number
- 0002272
- License State
- CT
- Taxonomy
- Homemaker · 376J00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tavares Campbell?
The NPI number of Tavares Campbell is 1518743178. It was assigned on September 7, 2023 and is currently active in the NPPES registry.
What is the specialty of Tavares Campbell?
Tavares Campbell is registered under the primary taxonomy Homemaker (code 376J00000X), licensed in CT under license number 0002272.
Where does Tavares Campbell practice?
The practice location is 89 Rochela Dr, Southington, CT 06489-4670. The office can be reached at 860-781-1973 (phone).
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 1518743178 directly on the NPPES registry website.