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FAMILY CARE VISITING NURSE & HOME HEALTH CARE AGENCY LLC NPI 1215963822


NPI Information

NPI: 1215963822
Provider Name: FAMILY CARE VISITING NURSE & HOME HEALTH CARE AGENCY, LLC

Other Name: FAMILY CARE VISITING NURSE AND HOME CARE AGENCY, LLC

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 07D0897440

Address:
999 ORONOQUE LN
STRATFORD, CT
ZIP 06614
Phone: (203) 380-3220
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FAMILY CARE VISITING NURSE & HOME HEALTH CARE AGENCY, LLC is a home health in Stratford, CT. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. FAMILY CARE VISITING NURSE & HOME HEALTH CARE AGENCY, LLC NPI is 1215963822. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Family Care Visiting Nurse And Home Care Agency, Llc.

The provider's business location address is:

999 ORONOQUE LN
STRATFORD, CT
ZIP 06614-379
Phone: (203) 380-3220
Fax: (203) 380-3228

The provider's authorized official is Rita C Krett .
The authorized official title is Administrator and has the following contact phone number (203) 380-3220.

The CLIA number assigned to this NPI record is 07D0897440 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 5/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1374U00000XHome Health Aide004140430CONNECTICUTNo
2251E00000XHome Health004138774CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1077205MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTHOME HEALTH PROVIDER
2004138774MEDICAIDCONNECTICUT

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

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