ROBERT SCANDURA NPI 1174181408

NPI Information

NPI: 1174181408
Provider Name: ROBERT SCANDURA
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
30 JORDAN LN STE 3
WETHERSFIELD, CT
ZIP 06109
Phone: (860) 436-9757
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Robert Scandura is a home health aide in Wethersfield, CT. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Robert Scandura NPI is 1174181408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 JORDAN LN STE 3
WETHERSFIELD, CT
ZIP 06109-278
Phone: (860) 436-9757
Fax: (860) 436-9679

The enumeration date for this NPI number is 6/2/2019 and was last updated on 6/2/2019.

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	376J00000X	Homemaker		HCA.0000139	CONNECTICUT	No
2	374U00000X	Home Health Aide		HCA.0000139	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	8045681	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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