Mercedes M Buckingham
In Home Supportive Care in Old Lyme, Connecticut
1629713946- Practice location
- 14 Kelsey Ave, Old Lyme, CT 06371-1210
- Phone
- 860-949-4192
- Fax
- —
- Last updated
- May 2, 2022
Mercedes Maria Buckingham is an In Home Supportive Care based in Old Lyme, CT. Mercedes Maria Buckingham practices in Old Lyme, CT. The NPI Number for Mercedes Maria Buckingham is 1629713946 and holds a License No. HCA.0001996 (CT). The current practice location address for Mercedes Maria Buckingham is 14 Kelsey Ave, Old Lyme, CT 06371-1210 and can be reached out via phone at 860-949-4192.
Provider Profile Details
- NPI Number
- 1629713946
- Provider Name
- Mercedes Maria Buckingham
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Kelsey Ave, Old Lyme, CT 06371-1210
- Phone Number
- 860-949-4192
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2022
- Last Update Date
- May 2, 2022
- Certification Date
- January 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Kelsey Ave
Old Lyme, CT 06371-1210 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1210
- Phone Number
- 860-949-4192
Provider Business Mailing Address Details
- Address
- 14 Kelsey Ave
Old Lyme, CT 06371-1210 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1210
- Phone Number
- 860-949-4192
License Information
- License Number
- HCA.0001996
- License State
- CT
- Taxonomy
- In Home Supportive Care · 253Z00000X · 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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- Anna N Bleasdale, OTR/LOccupational Therapist · NPI 1316739915
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Frequently Asked Questions
What is the NPI number of Mercedes M Buckingham?
The NPI number of Mercedes M Buckingham is 1629713946. It was assigned on May 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Mercedes M Buckingham?
Mercedes M Buckingham is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X), licensed in CT under license number HCA.0001996.
Where does Mercedes M Buckingham practice?
The practice location is 14 Kelsey Ave, Old Lyme, CT 06371-1210. The office can be reached at 860-949-4192 (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 1629713946 directly on the NPPES registry website.