ATHENA HOME HEALTH LLC NPI 1063810992

NPI Information

NPI: 1063810992
Provider Name: ATHENA HOME HEALTH LLC

Doing Business As: ATHENA HOME HEALTH & HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
135 SOUTH RD
FARMINGTON, CT
ZIP 06032
Phone: (860) 751-3620
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ATHENA HOME HEALTH LLC is a hospice care community based in Farmington, CT. ATHENA HOME HEALTH LLC NPI is 1063810992. The provider is registered as an organization entity type.
The provider Is Doing Business As Athena Home Health & Hospice.

The provider's business location address is:

135 SOUTH RD
FARMINGTON, CT
ZIP 06032-556
Phone: (860) 751-3620
Fax: (860) 470-7972

The provider's authorized official is Lawrence G. Santilli .
The authorized official title is Manager and has the following contact phone number (860) 751-3900.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008058655	MEDICAID	CONNECTICUT
2	05485016	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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